Chapter 17 Flashcards

1
Q

what is visceral pain

A

pain from internal organs

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2
Q

what is somatic pain

A

comes from skin, muscle, soft tissue

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3
Q

what are factors than can influence pain response

A

Physiologic factors
Culture
Anxiety
Previous experience
Gate-control theory of pain
Comfort
Support
Environment

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4
Q

what are types of nonpharmacologic pain management

A

Childbirth preparation methods
Relaxing and breathing techniques
Focusing and relaxation
Breathing techniques
Effleurage and counterpressure
Touch and massage
Therapeutic touch
Application of heat and cold
Acupressure and acupuncture
Transcutaneous electrical nerve stimulation
Water therapy (hydrotherapy)
Intradermal water block
Aromatherapy
Music
Hypnosis
Biofeedback

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5
Q

what are sedatives used for during labor

A

relieve anxiety and induce sleep; typically used for women in a prolonged latent phase of labor when there is a need to lessen the intensity of the contractions, decrease anxiety, or promote sleep

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6
Q

what should you assess on mom before giving opioids

A

dilation and RR

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7
Q

What are contraindications for subarachnoid and epidural blocks

A

Active or anticipated serious maternal hemorrhage
Maternal hypotension
Maternal coagulopathy
Infection at the injection site
Increased intracranial pressure
Allergy to the anesthetic drug
Maternal refusal or inability to cooperate
Some types of maternal cardiac conditions

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8
Q

how is nitrous oxide used for analgesia

A

Nitrous oxide mixed with oxygen can be inhaled in a low concentration (50% or less) to provide analgesia during the first and second stages of labor.

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9
Q

what is important to know with general anesthesia

A

rarely used for uncomplicated vaginal birth

woman should be premeditated with clear, oral antacid to neutralize acidic stomach contents

baby should be deliver asap to reduce degree of fetal exposure to meds given

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10
Q

what is considered the walking epidural

A

combined spinal epidural analgesia

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11
Q

spinal anesthesia

A

spinal headache and blood patch

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