NUR 4445 OB Exam 2
- Nonpharmacologic Pain Management
Answer -Relaxation and Breathing techniques
-Effleurage -Counterpressure -Heat & cold -Touch & massage -Acupressure & acupuncture -Transcut. electrical nerve stimulation -hydrotherapy -aromatherapy -music -hypnosis -biofeedback
- Example of relaxation & breathing techniques?
Answer -focusing and relaxation
using an image to focus on (reduces stress/tension)
-breathing
lessen discomfort in uterus
- Examples of effleurage?
Answer -light stroking, on abdomen with breathing
- Examples of counterpressure?
Answer 1 / 4
pressure on sacral area/hips during contractions
- Example of heat & cold?
Answer heat
heating pad, warm blanket (relieves muscles, decreases pain) cold
relieve discomfort when hot
- Examples of touch & massage?
Answer -hand holding
-massage feet, hands, legs
- What does acupressure do?
Answer increase blood flow & decrease secretion of neurotransmitters using pressure/heat/cold
- What does acupuncture do?
Answer restore flow of energy and decrease pain using needles
- What is TENS?
Answer transcutaneous electrical nerve stimulation
- What does TENS used for?
Answer -deliver low intensity electrical impulses good for low back pain during labor 2 / 4
- Where is TENS placed?
Answer -two electrodes
-on thoracic and sacral spines
- What is hydrotherapy?
Answer water therapy
-jetted tub -warm showers
- What are the 5 P's of labor?
- passageway
Answer
- passenger
- position
- psychological forces
- psychosocial considerations
- Which part of the pelvis most influences engagement?
Answer True Pelvis
- What pelvic type is most desirable for vaginal birth?
Answer gynecoid
- What is meant by station? How is it measured?
Answer Descent of the fetal head compared to the ischial spines
- When describing fetal position, what are the 3 landmarks that are includ- ed? 3 / 4
Answer
- infant landmark (occiput, mentum, sacrum, acromion)
- position between mother and fetus (R/L)
3. A/P/T
- What are key elements of the contraction activity to record?
- Frequency
Answer
- Duration
- Intensity
- What are signs labor may happen soon?
Answer -Lightening
-Braxton's hicks ctx -Cervical changes -Sudden bursts of energy -Weight loss -Indigestion -N&V -Diarrhea -Bloody show -ROM
- True Labor
Answer -Progressive D & E
-Regular ctx increasing in freq./dur./intensity -Pain starts in back and radiates to front -Pain not relieved by amb. or resting -Walking may make ctx stronger
- False Labor
- / 4