NM 704 Exam 3 Module 6 questions and
answers
Amniotomy effect on cesarean birth ✔✔The evidence showed a possible increase
in caesarean section.
hydrotherapy during labor: use of analgesia ✔✔● Reduction of use of epidural,
spinal, paracervical analgesia/anesthesia during 1st stage
hydrotherapy during labor: reported maternal pain ✔✔- decreased anxiety & fear
- increased self control
- used in early/latent labor can give mom break from contractions --> allowing her
to rest
● Higher level of satisfaction w/ birth experience
hydrotherapy during labor: labor duration ✔✔● Reduction in duration of 1st stage
● used in active labor --> increases rate of dilation by allowing mom to relax &
decreasing stress hormones
hydrotherapy during labor: operative delivery ✔✔● No difference in rate of
assisted vaginal deliveries, cesarean births, use of oxytocin, perineal trauma, or
maternal infection
,hydrotherapy during labor: & neonatal outcomes ✔✔● No differences in neonatal
outcomes
impact of continuous support during labor on use of analgesia, cesarean section,
operative vaginal delivery and maternal satisfaction. ✔✔
According to the evidence on labor support, the greatest benefit came from use
of:
A. A hospital staff member
B. A non-hospital staff member (ie doula)
C. a member of the woman's social/support network ✔✔B. A non-hospital staff
member (ie doula)
Continuous support resulted in: ✔✔● Fewer cesareans
● Less use of synthetic oxytocin to augment labor
● Less use of analgesia & anesthesia
● Greater maternal satisfaction
● More likely to have spontaneous vaginal birth decreased operative/instrumental
vag birth
● Less likely to have operative/instrumental vaginal delivery
maternal satisfaction
- has positive influences on child birth experience
- shorter stages of labor duration
, labor support ✔✔cesarean section
- decreased c/s
- increased spontaneous vag delivery
operative vaginal delivery
- decreased risk of operative vag birth
maternal satisfaction
- has positive influences on child birth experience
- shorter stages of labor duration
effectiveness *intracutaneous/intradermal sterile water injections* for reducing
pain & increasing comfort in labor: ✔✔● Relief last 1-3 hours in majority of
women
● Reduces pain (back) by approx 60%
● Overall need for pain meds not reduced
● No systemic maternal or fetal side effects
● only lasts over 2-3 hrs
● May repeat up to 3 times
● Burning at injection site w/ initial application (may deter ♀ from repeating)
● Uses gate control theory
● decreased c/s
answers
Amniotomy effect on cesarean birth ✔✔The evidence showed a possible increase
in caesarean section.
hydrotherapy during labor: use of analgesia ✔✔● Reduction of use of epidural,
spinal, paracervical analgesia/anesthesia during 1st stage
hydrotherapy during labor: reported maternal pain ✔✔- decreased anxiety & fear
- increased self control
- used in early/latent labor can give mom break from contractions --> allowing her
to rest
● Higher level of satisfaction w/ birth experience
hydrotherapy during labor: labor duration ✔✔● Reduction in duration of 1st stage
● used in active labor --> increases rate of dilation by allowing mom to relax &
decreasing stress hormones
hydrotherapy during labor: operative delivery ✔✔● No difference in rate of
assisted vaginal deliveries, cesarean births, use of oxytocin, perineal trauma, or
maternal infection
,hydrotherapy during labor: & neonatal outcomes ✔✔● No differences in neonatal
outcomes
impact of continuous support during labor on use of analgesia, cesarean section,
operative vaginal delivery and maternal satisfaction. ✔✔
According to the evidence on labor support, the greatest benefit came from use
of:
A. A hospital staff member
B. A non-hospital staff member (ie doula)
C. a member of the woman's social/support network ✔✔B. A non-hospital staff
member (ie doula)
Continuous support resulted in: ✔✔● Fewer cesareans
● Less use of synthetic oxytocin to augment labor
● Less use of analgesia & anesthesia
● Greater maternal satisfaction
● More likely to have spontaneous vaginal birth decreased operative/instrumental
vag birth
● Less likely to have operative/instrumental vaginal delivery
maternal satisfaction
- has positive influences on child birth experience
- shorter stages of labor duration
, labor support ✔✔cesarean section
- decreased c/s
- increased spontaneous vag delivery
operative vaginal delivery
- decreased risk of operative vag birth
maternal satisfaction
- has positive influences on child birth experience
- shorter stages of labor duration
effectiveness *intracutaneous/intradermal sterile water injections* for reducing
pain & increasing comfort in labor: ✔✔● Relief last 1-3 hours in majority of
women
● Reduces pain (back) by approx 60%
● Overall need for pain meds not reduced
● No systemic maternal or fetal side effects
● only lasts over 2-3 hrs
● May repeat up to 3 times
● Burning at injection site w/ initial application (may deter ♀ from repeating)
● Uses gate control theory
● decreased c/s
