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HDFS 3050 Exam 2 Questions with Correct Answers
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HDFS 3050 Exam 2 Questions with Correct Answers
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HDFS 3050 Exam 2 Questions withCorrect Answers
approaches to childbirth - Answer-Attitudes and practices molded by society and
culture.
childbirth before late 1800s - Answer-home births
childbirth: Post-industrial revolution - Answer-hospital births, women no longer viewed
as (instinctive) experts, now trained doctors and hospitals were experts.
childbirth: 1950s-1960s - Answer-movement back towards "natural" childbirth, but with
trained assistance; push for hospitals to adapt and provide more comfortable
experiences.
childbirth today - Answer-birth centers, including hospitals; some home births.
Mothers weight at the end of pregnancy. - Answer-20-35 lbs, due to enlarged tissues
and blood volume:
Placenta- 2lbs.
Blood- 4lbs.
Uterus-4lbs.
Breast-2lbs.
Fat- 5-10 lbs.
does not include wight of the baby.
stages of vaginal labor - Answer-early labor
active labor
transition phase
pushing
delivery of placenta
early labor - Answer-longest; can last days; contractions irregular as cervix is thinning
(effacing) and opening (dilating).
active labor - Answer-cervix enlarges from ~6cm to 10cm; contractions are regular and
stronger; mother is likely located at birthing place; averages 4-8hrs but can be longer or
shorter.
transition phase - Answer-most likely the most intense, lasting up to an hour.
pushing - Answer-during contractions, mother will physically push; this can last from
minutes to hours.
,what can be required during pushing phase of birth? - Answer-Episiotomy
delivery of placenta - Answer-occurs after the baby is out; contractions may be mild,
mother may have to give small push to deliver placenta; afterwards contractions will
continue as the uterus retracts.
Labor- cesarean section phases - Answer-umbilical cord prolapse
ceophalopelvic disproportion
placental abruption
placenta previa
fetal malpresentation
Umbilical cord prolapse - Answer-the umbilical cord comes out before the baby and this
could cause the baby to put pressure on the cord and disrupt blood flow to the baby.
Ceophalopelvic disproportion - Answer-the mothers pelvis is not large enough for the
baby to pass through (this is often the diagnosis when a mothers labor process "fails to
progress").
placental abruption - Answer-when the placenta detaches from the wall of the uterus
before delivery, causing disruption of blood flow and nutrients to the baby and heavy
bleeding for mother.
placenta previa - Answer-the placenta covers the cervix (i.e. where the baby should
exit).
Fetal malpresentation - Answer-the baby is essentially in any position except head
down- either sideways, or eet or buttock toward the vaginal canal.
Breech presentation - Answer-feet or bottom down.
most births are done under - Answer-regional (local) anestasia (numbs the lower part of
the body) so that the mother can remain awake.
C-section procedure - Answer-Abdominal incision
Uterine incision
Baby is delivered through the abdomen.
C section recovery - Answer-is typically much longer due to the serious nature of
surgery.
Analgesics - Answer-dulls pain; pain medication.
Anesthetics - Answer-block the nerves; "epidural"
Breaking amnion - Answer-to hopefully prompt the body to go into labor on its own.
, Pitocin - Answer-via IV drip to medically begin contractions- very aggressive
contractions.
anoxia - Answer-a condition in which the fetus / newborn has insufficient oxygen.
causes of anoxia - Answer-squeezing by umbilical cord, placenta abruption (seperating
from the uterus before baby is delivered), rh incompatibility, failing to breathe after birth.
monitoring anoxia - Answer-Will monitor fetal heart rate to guard against and be able to
take action quickly should the infant be in distress.
( if an infant is in distress- emergency c-section may be performed ).
anoxia potential outcomes - Answer-Brain damage (cognitive and language impacts
seens as late as middle childhood).
Lung damage.
anoxia treatment - Answer-- Hypothermia treatments with head-cooling devices
precooled water blankets that take baby's temp down to around 92 degrees-- research
demonstrates positive results.
- Current experimental treatment of an oxygen chamber-- doctor can place the baby in
an oxygen chamber which is just 100% oxygen.
pre-term delivery - Answer-- Born >3 weeks before the due date.
- Low birth weight (under 5.5 lbs).
small for date - Answer-- May be born at due date or preterm.
- Below expected weight for length of pregnancy.
outcomes of small for date babies - Answer-Compared to preterm infants, small-for-date
babies are more likely to die in the first year, deal with infections, and display brain
damage.
The smaller the baby, typically the more severe the outcomes and complications.
consequences of low birth rate - Answer-More health and developmental problems than
normal birth weight infants.
Including-- learning disability, ADHD, Autism spectrum disorders, breathing problems
(asthma).
Interventions in neonatal intensive care unit (NICU): - Answer-Kangaroo care,
Massage therapy.
Kangaroo care - Answer-skin to skin contact with baby's head against parents bare
chest.
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