Chapter 9

Question 0

the use of medication to partially or totally block all sensation to an area of the body

Answer 0

anestesia

Question 1

the use of medication to reduce the sensation of pain

Answer 1

analgesia

Question 2

a form of touch that involves light circular fingertip movement on the abdomen a technique a woman can use in early labor

Answer 2

effleurage

Question 3

the subarachnoid space

used in conjunction with epidural anesthesia

Answer 3

intrathecal

Question 4

medications with opium like properties also known as narcotic analgesics the most frequently administered medications to provide analgsia during labor

Answer 4

opioids

Question 5

nonpharmacologic interventions

Answer 5

continuous labor support
comfort measures
relaxation techniques

Question 6

nonpharmacologic interventions for relief of labor pain

Answer 6

continuous labor support 
patterned breathing 
effleurage
water therapy
imagery
hypnosis
intradermal water injections
acupressure and acupuncture

Question 7

breathing patterned techniques for labor

Answer 7

slow paced breathing
modified-paced breathing
patterned-paced breathing or the pant-blow technique

Question 8

name 2 general principles of pain relief during labor

Answer 8

inform the woman of pain management options and be supportive of the choices that she makes

Question 9

relaxation techniques that help increase the woman’s ability to cope with labor pain

Answer 9

continuous labor support
patterned breathing
effleurage
water therapy
imagery
hypnosis
intradermal water injections
acupressure and acupuncture

Question 10

another name for opioids

Answer 10

narcotic analgesics

Question 11

effects opioids have on the fetus and newborn

Answer 11

cause a change in the fetal heart pattern
cause respiratory depression

can led to maternal deaths by aspiration inadequate ventilation and overdosage

Question 12

3 types of regional anesthesia

Answer 12

pudendal block
paracervical block
epidural anesthesia
combo of epidural/spinal anesthetic and spinal block

Question 13

why is it critical for all facilities in which regional anesthesia is provided to have emergency equipment available?

Answer 13

in case a situation occurs such as the local anesthetic agent will inadvertently enter the bloodstream and cause a toxic reaction in the woman

Question 14

pudendal block

Answer 14

is given just before the baby is born to provide pain relief for the birth

Question 15

pharmacologic interventions

Answer 15

sedatives 
opioids
paracervical block 
epidural analgesia/anesthesia
intrathecal anesthesia- spinal block
general anesthesia

Question 16

describe the procedure for epidural placement

Answer 16

places a small catheter with local anesthetics or opioids to provide pain relief
the woman can be sitting up on the edge of the bed with her feet dangling or she may be side lying it is important for her to arch her spine because this position opens up the spaces between the vertebrae and allows for easier insertion of the catheter

Question 17

4 complications associated with epidural or spinal anesthesia

Answer 17

hypotension 
total spinal blockade is rare
paralysis
fever
headache
respiratory depression

Question 18

name 2 ways to reduce the threat of maternal aspiration when general anesthesia is used

Answer 18

intubation

RN monitors