Reflection Questions

1. Reflect on a time when you felt supported during a painful or strenuous time. What environment was the most helpful for you during that experience? Apply this concept to the different laboring people you might encounter and how you…

Review Questions

1. What is a direct influence on cervical dilation? Select all that apply. 2. The nurse is providing discharge instructions to a person who was evaluated for possible labor. How does the nurse explain how losing the mucus plug could…

Key Terms

active phasephase of labor in the first stage that lasts from 6 cm (nulliparous) or 4 cm (multiparous) to 10 cm/100 percent effacementearly phaseearly part of the first stage of labor lasting until 6 cm in a nulliparous person and…

Competency-Based Assessments

1. Trace the historical development of Lamaze childbirth education. How did the Lamaze method evolve from focusing on breathing techniques to becoming a comprehensive philosophy of birth education? 2. How do the six evidence-based healthy birth practices advocated by Lamaze…

What Should the Nurse Do?

Marie, a 28-year-old pregnant female in her second trimester, presents at the community health center for her routine prenatal checkup. Marie expresses interest in the Lamaze childbirth education program to prepare for her upcoming delivery. She has a history of…

Reflection Questions

1. Explain how interventions can disrupt physiologic birth. 2. What does the evidence show about the effect of continuous labor support on birth outcomes? 3. Discuss the process of relaxation and deepening according to HypnoBirthing. 4. A birthing person tells…