Pain MEds
A laboring mother is given fentanyl during labor. What should be monitored?
Monitor respiratory rate and fetal heart rate.
What is a key difference between spinal and epidural anesthesia?
Spinal acts faster and is used for cesarean; epidural is slower and used in labor.
A laboring woman is using a birthing ball and practicing breathing. What is this called?
Non-pharmacologic pain management.
What can occur if too much anesthetic is injected epidurally?
High spinal block.
What should you tell a patient about pain expectations in labor?
Pain varies; options are available for managing it
What is the purpose of patient-controlled analgesia (PCA)?
Allows the patient to manage pain within preset limits.
When is a spinal headache most likely to occur?
After spinal anesthesia if cerebrospinal fluid leaks.
What is effleurage?
Light circular massage of the abdomen.
Why might labor slow after an epidural is placed?
Relaxation of pelvic muscles reduces effective contractions.
What is a benefit of early education about epidurals?
Allows informed consent without pressure.
Why are opioids best given in early labor?
To minimize neonatal respiratory depression.
How is a post-dural puncture headache treated?
With a blood patch.
How does water therapy help in labor?
Provides buoyancy and comfort, reducing pain perception.
What is a major risk of systemic opioids late in labor?
Neonatal respiratory depression.
Why might a mother choose to avoid pain meds in labor?
To maintain mobility and control.
Which medication is commonly used for IV pain relief in labor?
Fentanyl
What is a risk of epidural anesthesia during labor?
Maternal hypotension.
What is the purpose of counter-pressure in labor?
Alleviates back pain during contractions.
How can maternal hypotension from epidural be managed?
Administer IV fluids and position left lateral.
How can nurses support informed decision-making in labor?
By explaining risks, benefits, and alternatives.
What is the antidote for opioid overdose in labor?
Naloxone (Narcan)
What must be checked before initiating an epidural?
Platelet count.
When should non-pharmacological methods be introduced?
Early in labor.
What adverse effect should be monitored after nitrous oxide use?
Dizziness or nausea.
Why is it important to reassess pain regularly in labor?
To adjust the pain plan as labor progresses.