Practice Quiz

Doula

Category - Labor & Birth

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A client in labor is expected to give birth less than three hours after the onset of contractions due to her previous birth history. Which of the following actions by the doula is the most effective during the labor process?
  1. Encourage the client to pant with each contraction.
  2. Keep the fetus from being delivered.
  3. Deliver the infant between contractions.
  4. Encourage the client to focus on her coping strategies.
Explanation
Answer: C - The most effective action during a precipitous labor is for the healthcare provider to deliver the infant between contractions should an immediate delivery become necessary. The client has to pant in between contractions. The healthcare provider should not attempt to keep the fetus from being delivered. The client can expect her provider to apply gentle pressure upward, toward the vagina, to prevent vaginal lacerations and damage to the fetal head.
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