Lamaze Exam Module 2 Promoting Safe and
Healthy Pregnancy Questions with Complete
Solutions 2024/25
Shared decision making model - Answer -model that respects and uses the preferences of the patient
and the expertise and judgment of the clinician.
Informed refusal - Answer -a patient's decision to refuse recommended treatment after all options,
potential risks, and potential benefits have been thoroughly explained
Informed consent includes - Answer -Risks, benefits, complications, alternatives
Shared decision making: BRAIN - Answer -Benefits, Risks and Reality, Alternatives, Intuition, Now? or
Never?
Informed decision making questions - Answer -Do we have time to talk?
What are the benefits of doing this?
What would be the risks?
What procedures and treatments might end up being needed?
What else can we try?
What if we wait an hour?
What if we don't do it at all?
Comfort and Relaxation During Pregnancy and Beyond - Answer -Mindfulness, meditation, progressive
relaxation, selective relaxation, guided imagery, massage, music, breathing, journaling.
Mindfulness and Meditation - Answer -tools that remind us to self-reflect
tuning out the world
become more present and centered
,progressive relaxation - Answer -lying down comfortably and tensing and releasing the tension in each
major muscle group in turn
selective relaxation - Answer -similar to progressive relaxation but focused on one area of the body. (in
labor focus on releasing perineum, shoulders, jaws)
Guided imagery - Answer -intentional visualization of images that are calming, relaxing, or beneficial in
other ways
Massage - Answer -Simple massage such as rubbing the back, shoulders, hands, feet, scalp
Music - Answer -Some release tension by listening to music (dancing to music can also provide
movement)
Breathing - Answer -used during relaxation practice, yoga breathing, can be used at the end of
contractions to relax muscles.
Journaling - Answer -practice to address issues the may cause stress. Write about thoughts, feelings,
experiences surrounding pregnancy
Feelings Surrounding Pregnancy First Trimester - Answer -Excited, nervous, anxious, mood swings,
worried, disconnected
Feelings Surrounding Pregnancy Second Trimester - Answer -Dependency, starts feeling real, not
attractive, creative, unfocused, dreaming of baby
Feelings Surrounding Pregnancy Third Trimester - Answer -Excited, nesting, terrified, relief, helpless,
strong
Feelings Surrounding Pregnancy After Baby - Answer -In love, exhausted, overwhelmed, ecstatic,
nothing, complete
, female external genitalia - Answer -(vulva) labia minora, labia majora, urethra, clitoris, vaginal opening,
perineum, anus
female internal genitalia - Answer -ovaries, fallopian tube, uterus, vagina, cervix, bladder
ejaculate - Answer -is about 1 teaspoon and contains 150-400 million sperm
Early pregnancy symptoms - Answer -Breast changes: fullness, tenderness, tingling in nipple area,
darkening areola
Missed menstrual period
Fullness, bloating, or ache in lower abdomen
Fatigue and drowsiness
Feeling lightheaded or faint
Nausea or vomiting "morning sickness"
Frequent urination
Increased vaginal secretions
Confirming Pregnancy - Answer -Can be confirmed with urine test or blood test
Calculating due date - Answer -Early pregnancy ultrasound scan, Estimate based on last menstrual
period (subtract 3 months from the date of last period then add 7 days.
Length of gestation - Answer -40 weeks or 280 days
Why are due dates important? - Answer -determine when to do testing, recognize if lab tests are
normal, diagnose preterm/postdate, identify slow growth or rapid growth
human chorionic gonadotropin (hCG) - Answer -The presence of HCG is detected in pregnancy tests.
hCG only occurs during pregnancy. Produced by embryo and ensures ovaries produce enough estrogen
and progesterone for the first 2-3 months until the placenta matures and produces enough.
