Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
OB chapter 8
management of pain during labor
| Question | Answer |
|---|---|
| Massage is | a method to prevent pain sensations from traveling up the spinal cord. |
| Thermal stimulation technique | technique stimulates temperature receptors that interfere with pain transmission |
| Cognitive stimulation method | stimulation method where imagery, focal point or focusing on breathing patterns can serve as a distraction for painful stimuli |
| Cutaneous stimulation | involves touching, rubbing, or massaging; often decreases discomfort |
| Effleurage is what type of relaxation method? | cutaneous stimulation |
| How dilated does the cervix need to be to receive analgesics? | at least 4cm |
| Complications of an epidural block. | hypotension that can decrease utero-placental blood perfusion, itching, dehydration, hypoglycemic baby, cerebrospinal fluid leakage |
| Uses of naloxone in the newborn | as an adjunct to oxygenation, ventilation, and gentle stimulation in treating respiratory depression |
| what types of anesthesia cause a low Apgar score? | general anesthesia |
| What position would you put a pt in that has severe back pain with cxs? | on the hands and knees |
| What response comes from a pudendal block? | the perineum, vulva and rectal area are numbed for repair of episiotomy or lacerations |
| What assessment do you perform immediately after an epidural? | observe for hypotension and monitor for fetal compromise |
| Adequate pain relief is most effective if | preferences of the family and/or mother are included. |
| If a pt breathes too fast and gets lightheaded, what should you do? | have her breathe in her cupped hands. |
| What kind of pressure can you apply for lower back pain? | sacral pressure |
| What do you warn a pt about when receiving a narcotic antagonist? | pain |
| How can you help an apprehensive pt cope with labor? | the nurse can try to relieve thirst, sweating, and heat through comfort measures. Can also try repositioning and adjusting the monitoring belts |
| In full dilation, analgesics will | sedate the newborn. |
| How do endorphins affect pain? | they are natural opiate-like substances known to relieve pain |
| What does a blood patch treat? | a dural puncture that is causing a cerebrospinal fluid leakage |
| Paracervical | lidocaine injected into cervical mucosa |
| Epidural | local anesthetic injected into epidural space at fifth lumbar vertebrae |
| Spinal | local anesthetic injected into subarachnoid space |
| General | relieves pain through the loss of consciousness |
| Pudendal | local anesthetic injected transvaginally into space in front of pudendal nerve |
| How does pain threshold vary among cultures? | pain expression varies with cultural background, some cry out, others stay quiet |
| Pain during labor is a result of? | physical sources |
| What are major adverse rxns to spinals and epidurals? | hypotension that can decrease utero-placental blood perfusion, itching, dehydration, hypoglycemic baby, cerebrospinal fluid leakage |
| How do you hydrate a woman before an epidural? | ringer’s lactate solution or normal saline is used to prevent or treat dehydration |
| Are all positions acceptable if they alleviate pain if there isn’t a need for a specific position? | no, any position except supine position is acceptable |
Created by:
laotracuata
Popular Nursing sets