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OB Theory
Exam 1
Ch. 17
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Claire Oswald
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Cards (10)
Pain During Labor and Birth:
Visceral - Pain from A_ C_ in organs during C_
Somatic - I_, S_, B_, and W_ localized?
any changes
,
contractions
,
intense
,
sharp
,
burning
,
well
Factors Influencing Pain Response:
Nonverbal - I_ in H_ , B_ H_
C_
Gate-Control Theory of Pain - Can I_ P_ S_ with O_ S_
C_, S_, E_?
increase
,
hr
,
breathing heavily
,
culture
,
interrupt pain signals
,
other stimuli
,
comfort
,
support
,
environment
Pain Management Non-Pharmocologic:
Relaxation and Breathing
S_ breathing
E_ L_; _ to _ breaths/min
N_ and S_
I_ _ _ _, O_ _ _ _
Q_ breathing
_ to _ breaths/min
M_ A_ L_
Worry
about
H_
P_
breathing
I_ O_ I_ O_ I_ B_ (_:_)?
slow, early labor, 6, 8, nice, slow, quick, 32, 40, more
active
labor
,
hyperventilation
,
patterned
,
in
,
out
,
in
,
out
,
in
,
blow
,
4
,
1
Non-Pharmocologic Pain Managment:
Effleurage - L_ T_
Counterpressure - D_ P_ on S_ region
Water Therapy
Keep water _ to _ degrees
Contrandications
C_ M_
M_ F_
I_ and P_
V_ B_?
light
touch
,
direct pressure
,
sacral
,
96.8
,
99.5
,
continuous
monitoring
,
maternal fever
,
infection
,
preterm
,
vaginal
bleeding
Pharmacologic: Systemic Analgesia
O_
Don't give if O_ D_ M_ with A_ only
Don't P_ M_ during C_
Don't give if baby is going to be D_ within _ to _ hrs
Can give when _ to _ cm?
opioids
,
opioid dependent mother
,
antagonists
,
push
med
,
contractions
,
delivered 1
,
4
,
1
,
3
Pharmacologic: Nerve Block
S_
Used for C_
Post-dural P_ H_
L_ of S_ P_
E_ B_ patch?
spinal
,
c
sections
,
puncture headaches
,
leakage
,
spinal fluid
,
epidural blood patch
Contraindications to subarchnoid and epidural blocks
H_, C_, I_,
I_ I_ P
A_
C_ C_
P_ count < _?
hypotension
,
coagulopathy
,
infection
,
increased intracranial pressure
,
allergies
,
cardiac conditions
,
platlet
,
150
Pharmacologic:
Nitrous Oxide
I_ L_ during F_ and S_ stages of labor
General Anethesia
Only if S_ C_ or C_ for E_
C_ O_ A_
Be delivered as S_ A_ P_?
inhaled
low
,
first
,
second
,
stat
section
,
contraindication
,
epidural
,
clear
oral
antiacid
,
soon
as
possible
Care Management for Nonpharmacologic Interventions:
P_ A_ during labor and birth
B_ Techniques
A_ women how she F_ to evaluate specific P_ T_
During
Take B_ q F_ M_
After
A_, R_, N_ D_ in B_
Give I_ B_ or L_ or N_ when _ over something
If D_ maybe more B_ or V_ E_
Less than _ is concerning?
pain
assessment
,
breathing
,
ask
,
feels
,
pain
technique
,
bp
,
few
minutes
,
assess
,
reposition
,
no
drop
,
bp
,
iv
bolus
,
lr
,
ns
,
125,
drops
,
bolus
,
vasopressor
ephedrine
,
20
Care Managment for Pain
E_ B_ for E_
S_ cath q _ hrs
F_ for G_ A_?
empty bladder
,
epidural
,
straight
,
2
,
foley
,
gen anesthesia