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20 Cards in this Set
- Front
- Back
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For all pain, perception is ? Pain is ?
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reality,
subjective |
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Perception is a blend of ? and ? situations e.g. what stories has she heard about birth and what is she telling herself.
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physical,
psychosocial |
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Pt- @19wks pregnant "I'm trying not to think about the delivery"
What should the nurse say ? |
"That's cool, but at 35 weeks when there is about a month to go I want you to start thinking about it."
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Nursng Dx for a pt that doesn't want to think about her delivery until the last minute could be ?
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anxiety, rt birthing process, aeb she stated that she doesn't want to think about the delivery right now.
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What are the 3 phases of stage 1 ?,?,?
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early labor,
active labor, transitional labor |
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In stage 1 of labor when the uterus is contracting and cervical effacement, dilatation, and uterine ischemia is taking place the pain impulses are transmitted via spinal nerve segments ?-? which part of the CNS is this pain activating?
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T11-T12,
parasympathetic |
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In stage 2 of labor when the perineum is stretching due to pressure from the descending baby, pain impulses are transmitted via spinal nerve segments ?-? which is activating the ? nervous system.
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S1-S4,
parasympathetic |
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Pt is having Sacral pain what stage of labor is she in ?
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stage 2
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Pt is having pain due to uterine contractions, cervical effacement, dilatation, and uterine ischemia what stage is she in ?
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stage 1
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The pt is in immence pain during labor and she and her physician have agreed to use certain analgesic medications during her labor, what do you as the nurse need to check ? and what else do you need to know when giving meds, as far as what a RN's job limits are ?
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institutional policy,
RN scope of practice as far as meds are concerned |
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before giving any medicine we need to ? our pts. For mom we need to monitor ? and ? For baby we need to monitor VS. What do we do after giving a med ?
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assess/monitor,
pain for mom & VS for mom, for fetus we need to monitor VS, assess/monitor to make sure mom and baby are safe |
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How do we give IV analgesic medicines for the most part ?
What is the goal of administering an analgesic ? |
slow over 3 minutes and we can dilute to facilitate the slow delivery.
to make pain level manageable |
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What do we need to know when administering meds ?, ?, ? remember that if you give a pt an IM injection it will take ? than IV meds to work. We also need to know the s/s of ? and what the ?'s are.
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onset, peak, duration,
longer, overdose, interventions |
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If an infant is born before 4hrs have passed as far as the analgesic administration to mom, we need to know that risk of ? is present for the newborn.
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respiratory depression
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As far as epidural analgesia the action is achieved by local ?'s acting on nerve fibers as they cross the ? space causing sensory blockade. The ?'s cross the dura into CSF and bind to ? receptors in the ? horn of the spinal cord
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anesthetics,
epidural, narcotics, opiate, dorsal |
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When epidural ansthesia is used the pt feels no pain because the ?-? effect cuts off signals to the sympathetic nervous system.
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phamacological sympathectomy
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What vertebrae is the doctor trying to get between when administering epidural analgesics?
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L4-L5
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When the doctor is administering the epidural analgesic he wants the needle to stay in the ? space. If the needle goes through the epidural space into the dura-mater and meds are administered into the dura-mater the pt may have a ? spinal that takes away their drive to ? caused by ? paralysis.
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epidural,
high, breathe, ascending |
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Risk for epidural anesthesia includes possible maternal ? that could lead to decreased ? blood flow and fetal ?
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hypotension,
placental, distress |
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Name a few side effects of epidural ?, ?, ?
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Spinal HA, seizures, migration of catheter
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