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NURS: 2146 OB > Test 2 Intrapartumn Pain (Labor) > Flashcards

Test 2 Intrapartumn Pain (Labor) Flashcards

1
Q

Pain meds may not be given if baby has…

A

Absent / minimal variability

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2
Q

Not using an Epidural the woman will have these benefits

A

Ability to ambulation

No Foley catheter

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3
Q

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

A

Endorphins

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4
Q

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

A

Decrease

Catecholamines = Stess hormones and shunt blood to vital organs

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5
Q

Fear, tension, ____ cycle

A

Pain

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6
Q

Gait control theory for pain

Explain

A

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

Only so many sense can come through at once

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7
Q

Does placebo affect help

A

Yes

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8
Q

Pelvic rocking

Which yoga posistions help facilitate this…

A

Cat & Cow

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9
Q

Rebozzo

A

Scarf or sheet used to shift belly or hips

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10
Q

Light or near touch to manipulation of energy field

A

Reiki

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11
Q

TENS

A

Electro stimulation of nerves through skin

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12
Q

Essential oils use.

Pain

A

Lavender
Jasmine
Eucalyptus
Frankincense
Roman chamomile

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13
Q

Essential oils use.

Relaxation

A

Ylang ylang & Mandarin

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14
Q

Essential oils use.

Mood elevation

A

Lemon

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15
Q

Essential oils use.

N/V

A

Peppermint

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16
Q

In whom is peppermint oil Contradicted

A

Causes vasoconstriction

Contradicted in HTN &, children due to respiratory system irritation

17
Q

Effleurage …

A

Fingertip massage

18
Q

Occipital posterior posistion

Which tech might be most helpful

A

Hip squeeze & Sacral Pressure

19
Q

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

A

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

20
Q

Nalbuphine and butorphanol

Are used for…

A

Opiods before giving Epidural.

Lower risk of respiratory depression

21
Q

Which procedure will a spnial pain relief be used

A

Scheduled C/S

22
Q

Nalbuphine - More popular
Butorphanol (Stadol)

Dose….
Onset…
Duration….
SE…..

A

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

23
Q

Nubain / Stadol

Don’t give when…

A

<2 hrs of delivery

24
Q

Butorphanol (Stadol)

Has this precaution

A

Lowers seizure threshold

Important for eclampsia

25
Q

Best started during active labor (Spinal / Epidural)

Just prior to CS (Spinal / Epidural)

A

Best started during active labor (Epidural)

Just prior to CS (Spinal)

26
Q

Insertion site for Spinal / Epidural

A

L3 - L4

27
Q

Epidural/ Spinal

Risks

Contradictions

A

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

28
Q

STAT CS why no spinal

A

Put mom to sleep, quicker

29
Q

Which goes in deeper Spinal Block or Epidural Block

A

Spinal Block goes in deeper

30
Q

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

A

T 10

Ensure mom can feel touch down from shoulder to belly button

31
Q

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

Keep in this position to relieve headache

To correct this problem…

A

Blood patch

Laying down

Blood from arm is injected into leaky spine

32
Q

Spinal Duramorph

Opiod pain relief

Last…

Use…

A

24 hrs

Use. Postop pain relief

33
Q

Respiratory Depression

Alert MD If RR <

A

12

34
Q

Epidural (Foley / Straight Cath)

Spinal (Foley / Straight Cath)

A

Epidural Straight Cath

Spinal Foley - Due to CS

NURS: 2146 OB (16 decks)

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