ANSWERS 100% CORRECT
What are the 5 facets of support? - ANSWER1. Emotional Support
2. Physical Support
3. Informational Support
4. Partner Reinforcement
5. Self Advocacy
According to the Standards of Practice, any position change of the mother during
labor should be approved by... - ANSWERthe attending physician or midwife.
Explaining a medical procedure that is routinely performed during birth in a hospital
is.. - ANSWERinformational support
_________ is a simple skill that is almost never used by people who are not paid to
do it. Professional therapists, psychologists and clergy are trained to listen in this
way, and that is why they are sought out by people to unburden themselves. -
ANSWERActive listening
According to the American Pregnancy Association, _______% of women who have
undergone cesarean deliveries are candidates for vaginal birth after cesarean. -
ANSWER90%
As a doula you are free to offer suggestions to the mother during labor... -
ANSWERproviding the hospital or birthing center allows her free rein to do so.
Changing positions helps to ensure a continuous _________ to the fetus, rather than
causing supine hypotension (low maternal blood pressure) by lying on her back or
even semi sitting. - ANSWERoxygen supply
For first pregnancies, the cervix dilates about __________ during the active phase of
labor. However, in subsequent pregnancies it happens faster. - ANSWER1 cm per
hour
Many hospitals will use the __________ position in conjunction with epidural
anesthesia or other medications. It can also be used to alter positions from semi
sitting It may be used for laboring women with blood pressure issues or if her baby is
showing signs of fetal distress. It is generally recommended that the mother lie on
her left side. - ANSWERSide lying
Why is active listening so hard? - ANSWERYour brain works four times the rate that
someone can speak, so it is only natural that when we are having a conversation we
are thinking ahead about what we want to say rather than actually listening.
, The act of listening should be tiring; - ANSWERit requires energy to do it right.
The Four Steps of Active Listening: - ANSWER1. Focus on the person
2. Use Receptive Language
3. Listen for Key Words
4. Rephrase
In the Houston study, more than ________ of the women without a Doula requested
or required epidural anesthesia - compared with only _______ percent in the Doula
group. - ANSWERHalf; 8%
Studies document forceps deliveries are ________ percent less for Doula-supported
births, a difference largely due to the more frequent use of epidural anesthesia in the
no-doula groups. - ANSWER40%
In one Guatemalan study, only _______ percent of women who had a Doula
required ________. - ANSWER2% ; oxytocin
_____________ connect their clients with resources in the community that might be
able to meet the specific needs of the mother after the baby is born. The Doula can
provide a valuable service by linking her clients with agencies that can help her and
her family. - ANSWERService brokers
How many types of birth are there? - ANSWER4
As a doula it's your job to help your client learn how to prepare her pregnant body to
give birth. You have to teach her the ____________of birth, which is essentially that
her body is a container that must let out a large object. - ANSWERpractical physics
___________ is commonly used to treat in-coordinate uterine activity, but
pregnancies complicated by dystocia often end with assisted deliveries, including
forceps, ventouse or, commonly, caesarean section. - ANSWERSynthetic Oxytocin
(Pitocin)
The second stage of labor occurs when.. - ANSWERthe baby moves through the
birth canal and is delivered into the world.
The second stage of labor typically lasts between ____________________. -
ANSWER20 minutes and two hours.
________can be used to widen the pelvic outlet. - ANSWERSquatting-aka midwives
forceps
Squatting opens the pelvis by up to _____ compared to lying down and is
consistently reported to be less painful than lying down. - ANSWER30%
Why do we "nest"? - ANSWERIt gives us a psychological means of dealing with the
anxiety of waiting.
Cramps and pain in the calves during pregnancy is caused by excessive swelling
and strain in the __________________. - ANSWERGastrocnemius muscle