Page 20 Has Info on Benefits/Uses for Hands and Knees Position

Section One: All Students

1. There is a photo of a pressure point in this chapter (red dot). What is the name of this pressure point?

Page 6

1. Create two scenarios in which you could help the mother utilize the hands and knees position while laboring in the hospital (a photo in this chapter gives you one example).

Page 20 has info on benefits/uses for hands and knees position

1. Looking at the diagrams for the Neuromatrix and Gate Control Theories, choose one of the signals that can create abnormal patterns of activity in the neuromatrix of a mother in labor, and share one thing you can possibly do to help in that area – while she is in labor.

Page 16 - Gate Control Theory
Page 17-Neuromatrix

1. What is the most important way you can support a mother enduring negative emotions in labor?

Page 30 begins mention of role of a doula
Page 9 briefly mentions refocusing on birth rather than loss feelings

1. What is one way you can help gauge about how far into labor a mother is, without an exam?

Page 18 Non-Clinical Progress Assessment

1. List two reasons why singing or humming can be helpful in labor.

Page 25 Vocalization

1. What is one benefit of spontaneous pushing?

Page 24 Valsalva Maneuver, Sponaneous vs Directed

Section 2: Non-Nursing Students

1. Call your local hospital(s) and ask the maternity care coordinator or head nurse of the maternity unit what their Cesarean birth rates are. Compare to this list. In a short paragraph (1-3 sentences), share what you learned. Helpful tip: you will be calling your hospital again for an exercise in exam 5. Consider combining these into one phone call. In exam 5, you’ll be asked to learn about any unique or special labor and delivery options they may have for mothers whose newborns will need intensive care (anticipated or unexpected), and to familiarize yourself with any standard protocols for transporting, visiting, care and discharge. If you cannot connect with anyone, you can turn in your exam and come back to this question later. Whatever the experiences are on this journey can count for your answer (i.e. were the resources limited, were the professionals open and friendly, how might this relate to a client’s journey for answers?)

Answer will be personal for each students experience.

1. How can it benefit the mother to hire you as her doula for a subsequent pregnancy, after birth in any trimester or any outcome?

Page 52 Subsequent Pregnancies

Additional jumping off points may be found on Page 16 (Theories of Pain-relates to knowing history and knowing potential triggers of this family)
Additional Resource:

1. Serving as a pretest for chapter 5, identify the following true/false statements regarding breastmilk:

Prolactin is involved in milk production, and oxytocin is involved in milk ejection.

Lactose is the major carbohydrate in :breastmilk.

Jaundiced babies need to breastfeed frequently.

Answers not found in text.

Section 3: Nursing Students

View the information from B.E.S.T. regarding postpartum hemorrhage in our Student Resources section, and identify three important facts regarding postpartum hemorrhage, especially as they may relate to this week’s training materials (worth three points).

Powerpoint Viewer:

Student Resources:

Extra Credit:

Worth one point only for this exam:

You will need: an ice cube, a bowl, and a clock. At the start of one minute, squeeze the ice cube in your hand. When the minute is over, release the cube into the bowl, for one minute. At the start of the next minute, squeeze the ice cube again for one minute. You are squeezing for one minute with one minute break in between. Or, you can complete this project by filling a deep bowl with ice and water, placing your hand into the bowl during the timed intervals.

How many times do you do this before it becomes uncomfortable? When it becomes uncomfortable, what mental process do you do? What behaviors do you exhibit? Take careful note of what thoughts you have, and share them with the class.