Pain Management (1)
Visceral pain
what is; slow, deep, localized, and felt with contractions?
technique
what is; doctor snags the placenta with an amniotic hook during vaginal exam?
Somatic pain
what is; the pain moms feel when the baby is coming down the birth canal?
Components
what is; powers, passage, passenger, psyche, and positions?
reason for test
what is; monitoring to see if the baby has late decelerations?
regional epidural
what is; placed in the epidural space with anesthesia, causing sensation loss, continuous flow?
Risk(s)
what is; prolapsed cord + infection?
Non-Pharmacologic PM
what is; relaxation, cutaneous simulation, hydrotherapy, mental stimulation, breathing techniques?
labor beginning
what is; changes in estrogen and progesterone levels?
goal
what is; 3 contractions in 10 minutes?
side effects of epidural
what is; hypotension, bladder distention, prolonged second stage, maternal fever, N/V/itching?
nursing consideration(s)
what is; comfort, infection control, and monitoring?
Pharm PM considerations
what is; medications will cross the placenta, slowing of labor, 5-6 cm dilated, affecting mom?
3 phases
what is; the latent phase, active phase, and transition phase?
contraction stimulation
what is; IV Pitocin + nipple stimulation?
Nursing Care
what is; frequent vital signs, fetal monitoring, checking dermatome levels, assessing for bladder distention, positional changes?
indication(s)
what is; increasing labor/delivery time by stimulating contractions?
Subarachnoid (spinal)
what is; injected into the subarachnoid space, anesthetic, warmth in feet, needles goes in and comes out?
nursing consideration(s)
what is; comfort + pain, teaching, encouragement, and safety?
interpretation(s)
what is; positive, negative, and suspicious?
intrathecal
what is; injected into the subarachnoid space, spinal fluid, not left in place, analgesic use?
Monitor
what is; color, odor, consistency, and amount of amniotic fluid?
systemic medications
what is; crosses the placenta, respiratory distress, limited effect, should not be given close to delivery time, opioid antag (Narcan), adjunctive drugs?
premonitory sign(s)
what is; Braxton hicks, increased mucous, nesting, bloody show, and weight loss?
positive, negative, suspicious interp
what is; positive = 50% of contractions happen and you have late decels after the contractions are over? Negative = NO decels? Suspicious = have a late decel that didn't meet the requirements for a positive CST?