Stage One Labor - Quiz.

Stage One Labor - Quiz

Natural Childbirth Classes and Doula Services
Triangle Area, NC.


	HOME	How to Use these Quizzes Enjoy trying these quizzes. If you have questions after reading the answers you can ask your health care providers for more information. These topics are also covered in more detail in many of the books shown on the website. You can attend a childbirth class where many of these topics will also be discussed at length. Exercises Stage One Relaxation Transition Then/Now

Questions	What do you think?	Answer / Comments
1). Name the four things measured in a vaginal exam.	baby's length/weight hat size/shoe size dilation/station effacement/presentation	dilation (opening of cervix, cm's), station(descent through pelvis), effacement (% thinning of cervix), presenting part (head, bottom, foot)
2. What causes backache in labor ?	Improper lifting Baby's position Indigestion	The Occiput posterior (OP) position of the baby will often cause Mother to feel her contractions in her sacrum. Always treat a backache in labor...assume the baby needs to turn around.
3. What are some comfort measures to relieve this pain ?	Candy Counter pressure Changing positions	Massaging the lower back & buttocks, counter pressure, double hip squeeze, cold or hot compresses, shower, and rolling pressure of lower back just to name a few. Changing position helps too (to help the baby turn).
4. Why is it important to conserve your energy during labor ?	Extra energy to wash dishes Helps baby stay rested Reserves to get through difficult parts of labor	Its best to plan for a longer than average(15-17 hours) labor. If you end up with a shorter one you'll have lots of spare energy to enjoy that baby!
5. Why do you need to eat and drink in early labor ?	Maintain energy Prevent boredom Settle your stomach	The uterus is a large working muscle. It needs fuel to work. Staying hydrated will also help prevent muscle fatigue and keep you from getting a fever.
6. List 4 "ways" that your labor could start.	On again off again backache Menstrual like cramps Bag of Waters breaking	All of the above. Your membranes can rupture, or you can feel contractions in your belly, back or just like cramps from your period.
7. What is the method recommended in The Birth Book (Dr. Sears) about when to leave for your birthplace (regarding contractions) ?	4 minute apart contractions, at least 1 minute in length, for 1 hour or more (4-1-1 rule) Contractions at least 30 seconds long Contractions at least 5 minutes apart	4-1-1. Mom will usually know when its time to go. Account for traffic and distance to your birthplace.
8. How can upright positions help your labor progress ?	To keep the baby in a good position in the uterus. Easier breathing Gravity and a body in motion help to keep labor moving.	Gravity helps the cervix open. Movement and position changes help keep your labor moving.
9. When you are stuck at certain level of dilation for a number of hours, what can you do get things moving again ?	Change your labor routine Eat some cake Take a shower	Dad (coach) needs to stay positive and keep suggesting new things. Try different positions, try resting if you have been active, try walking if you have been lying down.
10. How can you tell the difference between pre-labor and real- labor ?	Contractions disturb hairdo Partners humor not funny anymore Activity change doesn't stop contraction	Remember real labor can't be stopped by changing your activity or eating/drinking. In real labor the contractions intensify; contractions often begin in lower back & spread to your abdomen; contractions become increasingly stronger, closer together and are regular.