NM704 Exam 1: Questions With Detailed Solutions
What are the three things that impact the outcomes of home births? Right
Ans - -qualifications of birth attendants
-integration into maternity system for safe transfers
-appropriate criteria to determine eligibility
What is the main risk of hospital births? Right Ans - -increased
interventions
Why is integration of out of hospital births into the maternity care system so
important? Right Ans - -maximizes safety
-helps ensure safe and effective transfers
-opportunity for low-risk women to explore physiologic birth with no increase
in interventions or poor outcomes
-ensures a high quality system for collaboration and transfer when necessary
What is the pain relief paradigm? Right Ans - -the need to offer anything to
take pain away
-utilizing the advantage of modern advances
-labor "should be" pain free
What is the working with pain paradigm by Leap? Right Ans - -
understanding normal pain is a part of the labor process
-enabling women to take advantage of the body's natural pain relieving
chemicals
-coping as pain gradually increases in intensity
What is comfort? Right Ans - -having needs or desires met in body, mind,
and spirit
-feeling at ease, secure, relieved, hopeful, and expectations met
How can comfort exist with the presence of pain in labor and birth? Right
Ans - -comfort can help women transcend their pain
-comfort can be the dominant perception that makes the pain feel diminished
and tolerable
, How can we provide support to women during labor and birth to help
facilitate physiologic pain relief? Right Ans - -decrease their anxiety by
providing support, ongoing communication, and maintaining privacy
-providing a calm environment and promoting relaxation techniques
What are some possible purposes for pain during labor by Leap? Right Ans
- -helps the woman find safety
-marks the occasion
-summons support
-triggers neuro-hormonal cascade
-clues to progress
-feeling of triumph over pain
-heightens joy when the baby is born
What is the coping with pain algorithm? Right Ans - -alternative pain
assessment tool
-allows normal labor pain but eliminates *suffering*
-managed state of acceptance and anticipation
-monitors verbal and non-verbal signs of coping or not coping
If the woman is found to not be coping during labor what are the three aspects
that should be addressed to help facilitate coping? Right Ans - -
physiological pain relief (pharmacological or non pharmacological
interventions)
-physical (changes to the environment such as lighting, music, aromatherapy,
etc.)
-emotional/psychosocial (fear, stressors, support person dynamics, etc)
What are the important take-aways from the "over-treatment of normal
childbirth" by Albers? Right Ans - -extra interventions did not change the
outcomes and aren't necessary--not fiscally or medically defensible
-unnecessary interventions increases healthcare costs, increases risks of
complications, and decreases chance of spontaneous births
-no evidence supports the routine use of EFM, epidurals, oxytocin, or
episiotomies in low-risk women
-we need to DECREASE over-treatment of labor and INCREASE labor support
by facilitating physiologic birth*
What are the three things that impact the outcomes of home births? Right
Ans - -qualifications of birth attendants
-integration into maternity system for safe transfers
-appropriate criteria to determine eligibility
What is the main risk of hospital births? Right Ans - -increased
interventions
Why is integration of out of hospital births into the maternity care system so
important? Right Ans - -maximizes safety
-helps ensure safe and effective transfers
-opportunity for low-risk women to explore physiologic birth with no increase
in interventions or poor outcomes
-ensures a high quality system for collaboration and transfer when necessary
What is the pain relief paradigm? Right Ans - -the need to offer anything to
take pain away
-utilizing the advantage of modern advances
-labor "should be" pain free
What is the working with pain paradigm by Leap? Right Ans - -
understanding normal pain is a part of the labor process
-enabling women to take advantage of the body's natural pain relieving
chemicals
-coping as pain gradually increases in intensity
What is comfort? Right Ans - -having needs or desires met in body, mind,
and spirit
-feeling at ease, secure, relieved, hopeful, and expectations met
How can comfort exist with the presence of pain in labor and birth? Right
Ans - -comfort can help women transcend their pain
-comfort can be the dominant perception that makes the pain feel diminished
and tolerable
, How can we provide support to women during labor and birth to help
facilitate physiologic pain relief? Right Ans - -decrease their anxiety by
providing support, ongoing communication, and maintaining privacy
-providing a calm environment and promoting relaxation techniques
What are some possible purposes for pain during labor by Leap? Right Ans
- -helps the woman find safety
-marks the occasion
-summons support
-triggers neuro-hormonal cascade
-clues to progress
-feeling of triumph over pain
-heightens joy when the baby is born
What is the coping with pain algorithm? Right Ans - -alternative pain
assessment tool
-allows normal labor pain but eliminates *suffering*
-managed state of acceptance and anticipation
-monitors verbal and non-verbal signs of coping or not coping
If the woman is found to not be coping during labor what are the three aspects
that should be addressed to help facilitate coping? Right Ans - -
physiological pain relief (pharmacological or non pharmacological
interventions)
-physical (changes to the environment such as lighting, music, aromatherapy,
etc.)
-emotional/psychosocial (fear, stressors, support person dynamics, etc)
What are the important take-aways from the "over-treatment of normal
childbirth" by Albers? Right Ans - -extra interventions did not change the
outcomes and aren't necessary--not fiscally or medically defensible
-unnecessary interventions increases healthcare costs, increases risks of
complications, and decreases chance of spontaneous births
-no evidence supports the routine use of EFM, epidurals, oxytocin, or
episiotomies in low-risk women
-we need to DECREASE over-treatment of labor and INCREASE labor support
by facilitating physiologic birth*
