What’s Your Pregnancy Literacy? 1. Which of the following could make the biggest difference in the outcome of your pregnancy?*(a) Your doctor(b) Your hospital(c) Your health insurance2. When selecting your doctor, the most important question to ask (after determining the doctor’s qualifications) is:*(a) Where do you have admitting privileges?(b) Are you comfortable handling high-risk pregnancies?(c) Will you be the doctor delivering my baby?3. True or False? The pregnancy book, What to Expect When You’re Expecting, misleads expectant mothers into believing that a home birth with a midwife is a safe alternative to delivery in a hospital.*(a) True(b) False4. True or False? Because of liability laws and hospital protocols, any nurse assigned to the labor and delivery ward must be qualified by nursing education and specific certifications in basic and advanced fetal heart monitoring, labor, triage, and neonatal (newborn) intensive care.*(a) True(b) False5. One of the most dangerous pregnancy mistakes is:*(a) Missing the warning sign of leaking fluid(b) Mistaking leaking fluid for urine rather than amniotic fluid(c) Failing to contact your doctor immediately when you suspect you are leaking fluid(d) All of the above6. If your doctor practices at a faith-based hospital, or if you have reason to believe that your doctor’s medical decisions are guided by strongly held religious beliefs, you must determine:*(a) Whose life will be saved if both you and your baby are at risk in a medical emergency(b) Whether your doctor will oppose or support your decision to terminate a pregnancy if genetic testing indicates you have a child with devastating genetic defects(c) Both of the above(d) I'm not certain7. The classic teratogenic period (the time when your baby is most at risk for birth defects caused by non-genetic factors) is:*(a) Days 1–30(b) Days 31–71(c) Days 72–90(d) Days 91–180(e) None of the above(f) I’m not certain8. Which of these statements is true? If you arrive at the hospital before your doctor and need drugs to help you with the pain, the labor and delivery nurses will:*(a) Wait for your doctor to arrive before administering drugs if there is no pre-signed order(b) Administer those drugs while you’re waiting if your doctor pre-signed an order(c) Ask a hospitalist to sign the order if you’re delivering at a large hospital with a doctor on staff(d) All are true(e) I’m not certain9. A diagnostic test done during your pregnancy:*(a) Will tell you that you do or do not have a certain condition(b) Will indicate a potential problem(c) Should not be done; you should only have screening tests done during your pregnancy(d) I’m not certain10. True or False? According to the U.S. government's National Institutes of Health, 51% of American births are unplanned. However, the real number is closer to 100%.*(a) True(b) False11. True or False? The average percentage of American babies born with genetic birth defects is 3%, nearly 120,000 in 2014. Preconception genetic testing, and post conception genetic testing could dramatically reduce this number.*(a) True(b) False12. In the event of a life-threatening obstetrical emergency, the critical decision that will affect the outcome is:*(a) The selection and skill set of your caregiver (Midwife, Family Doctor, Ob-Gyn, Perinatologist)(b) Your insurance company(c) Your hospital(d) All of the above13. There are four types of midwifes in the US. The safest choice for a home birth midwife delivery would be:*(a) Direct entry midwife(b) Certified midwife(c) Certified professional midwife(d) Certified nurse-midwife(e) None of the above14. If you are looking for the safest natural birth alternative to a high tech hospital birth, the best choice would be:*(a) A home birth with an experienced direct entry midwife(b) A home birth with an experienced certified midwife or professional midwife(c) A home birth with a certified nurse-midwife(d) Delivery by a certified nurse-midwife at an independent birth center(e) Delivery by a certified nurse-midwife at a natural birth center located on a subspecialty hospital campus with a High Tech OR (operating room) and a Neo Natal Intensive Care Unit (NICU) staffed with highly trained nurses, in the event of an obstetrical emergency requiring surgical intervention and/or neonatal resuscitation. Not challenged enough? Take Dr. Zack’s expanded quiz to really test your pregnancy literacy.