The nurse is presenting a prenatal education class about the use ...

[lb_gilbert]

The nurse is presenting a prenatal education class about the use of Lamaze during childbirth. Which concept should the nurse include in his teaching?
 
  1. Dissociative relaxation
  2. Partner-coached childbirth
  3. The extended McRoberts position
  4. Touch relaxation

Question 2

The nurse is planning a train the trainer class for labor and delivery nurses learning to teach prenatal classes. Which statement indicates that teaching has been effective?
 
  1. Women like to be in a semi-sitting position when giving birth.
  2. Teaching alternatives available at our hospital facilitates decision making.
  3. I will explain that bright lights in the room are best for moms and babies.
  4. Patients should be taught not to make noise during labor or birth.

[yotaSR5]

Answer to Question 1

Correct Answer: 1
Rationale 1: Dissociative relaxation, which is specific to Lamaze, promotes relaxation of uninvolved muscles while the uterus contracts, creating an active relaxation pattern.
Rationale 2: Partner-coached childbirth is an element of the Bradley method.
Rationale 3: The extended McRoberts position is a body-conditioning exercise that helps enable the woman to stretch her hamstring muscles.
Rationale 4: Touch relaxation is a two-person relaxation technique in which the woman learns to release tension in the body areas that her partner touches.

Answer to Question 2

Correct Answer: 2
Rationale 1: No one position for birth is favored by all women. Prenatal classes should teach about alternatives and help strengthen the mindbody connection of patients.
Rationale 2: This is a true statement. To be respectful and facilitate autonomy, prenatal classes should teach about alternatives and help strengthen the mindbody connection of patients.
Rationale 3: Subdued lighting and soft music are options that are easy to implement and help personalize a family's birth experience.
Rationale 4: Vocalization during labor and birth should be encouraged, if that is what the patient wants to do. It is not appropriate to expect all laboring patients to want the same things or to behave in the same ways.