Test 2 Intrapartumn Pain (Labor)

Question 1

Pain meds may not be given if baby has…

Answer 1

Absent / minimal variability

Question 2

Not using an Epidural the woman will have these benefits

Answer 2

Ability to ambulation

No Foley catheter

Question 3

Non drug pain relief releases these in the body to combat pain

Answer 3

Endorphins

Question 4

(Decreasing or Increasing) catecholamines will enhance uterine perfusion and oxygen to fetus

Answer 4

Decrease

Catecholamines = Stess hormones and shunt blood to vital organs

Question 5

Fear, tension, ____ cycle

Answer 5

Pain

Question 6

Gait control theory for pain

Explain

Answer 6

Bombard patients senses to stop the pain sensation from coming through.

Only so many sense can come through at once

Question 7

Does placebo affect help

Answer 7

Yes

Question 8

Pelvic rocking

Which yoga posistions help facilitate this…

Answer 8

Cat & Cow

Question 9

Rebozzo

Answer 9

Scarf or sheet used to shift belly or hips

Question 10

Light or near touch to manipulation of energy field

Answer 10

Reiki

Question 11

TENS

Answer 11

Electro stimulation of nerves through skin

Question 12

Essential oils use.

Pain

Answer 12

Lavender
Jasmine
Eucalyptus
Frankincense
Roman chamomile

Question 13

Essential oils use.

Relaxation

Answer 13

Ylang ylang & Mandarin

Question 14

Essential oils use.

Mood elevation

Answer 14

Lemon

Question 15

Essential oils use.

N/V

Answer 15

Peppermint

Question 16

In whom is peppermint oil Contradicted

Answer 16

Causes vasoconstriction

Contradicted in HTN &, children due to respiratory system irritation

Question 17

Effleurage …

Answer 17

Fingertip massage

Question 18

Occipital posterior posistion

Which tech might be most helpful

Answer 18

Hip squeeze & Sacral Pressure

Question 19

Hypnobirthing laws

For every thought there is a chemical response in the body

Think positive about what you want to happen

Repetition provides positive conditioning

While the mind is highly motivated the body will respond properly

Answer 19

Law of psycho-physical response
For every thought there is a chemical response in the body

Law of harmonious attraction
Think positive about what you want to happen

Law of Repetition
Repetition provides positive conditioning

Law of motivation
While the mind is highly motivated the body will respond properly

Question 20

Nalbuphine and butorphanol

Are used for…

Answer 20

Opiods before giving Epidural.

Lower risk of respiratory depression

Question 21

Which procedure will a spnial pain relief be used

Answer 21

Scheduled C/S

Question 22

Nalbuphine - More popular
Butorphanol (Stadol)

Dose….
Onset…
Duration….
SE…..

Answer 22

Dose 5 - 10 mg every 3-6 hrs IV, SQ, IM

Onset IV 2 - 3 Min IM <15

Duration labor 2 - 3 hrs

SE opioid SE

FALL RISK

Question 23

Nubain / Stadol

Don’t give when…

Answer 23

<2 hrs of delivery

Question 24

Butorphanol (Stadol)

Has this precaution

Answer 24

Lowers seizure threshold

Important for eclampsia

Question 25

Best started during active labor (Spinal / Epidural)

Just prior to CS (Spinal / Epidural)

Answer 25

Best started during active labor (Epidural)

Just prior to CS (Spinal)

Question 26

Insertion site for Spinal / Epidural

Answer 26

L3 - L4

Question 27

Epidural/ Spinal

Risks

Contradictions

Answer 27

Risks

Hypotension (IVF Bolus), decreased placental flow / Late Decelerations, Puncture of Dura
High Spinal cause resp distress
Infection
Paralysis/ Seizures

Contradictions

Coagulation disorder
Infection at site
Hypotension
Some NS diseases

Question 28

STAT CS why no spinal

Answer 28

Put mom to sleep, quicker

Question 29

Which goes in deeper Spinal Block or Epidural Block

Answer 29

Spinal Block goes in deeper

Question 30

Before a mom can be moved to post partum feeling needs to return to which part of the Spine / Body

Answer 30

T 10

Ensure mom can feel touch down from shoulder to belly button

Question 31

Leaking of CS Fluid from Spinal / Epidural can give a bad headache.

Keep in this position to relieve headache

To correct this problem…

Answer 31

Blood patch

Laying down

Blood from arm is injected into leaky spine

Question 32

Spinal Duramorph

Opiod pain relief

Last…

Use…

Answer 32

24 hrs

Use. Postop pain relief

Question 33

Respiratory Depression

Alert MD If RR <

Answer 33

12

Question 34

Epidural (Foley / Straight Cath)

Spinal (Foley / Straight Cath)

Answer 34

Epidural Straight Cath

Spinal Foley - Due to CS