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16 Cards in this Set
- Front
- Back
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Visceral pain is experienced in the first stage of labor. Where is it located?
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- Lower portion of the abdomen
- Radiates to the lumbar area of the back and down the thighs |
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Somatic or perineal pain experienced in the second stage of labor. Where is it located?
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- Lower back
- Suprapubic area |
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Local infiltration provides anesthesia where?
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Perineum
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When can an epidural be given?
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In active labor
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How is an epidural administered? What position should the women be in?
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- Injection of anesthetic agent into the epidural space
- Sit up, lean forward, back out |
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How much fluids should you preload a patient with before getting an epidural?
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1000- 2000 mLs of IV fluids
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Where are the effects of an epidural felt?
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From the top of the stomach to the feet
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What are 2 main maternal complications from an epidural?
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- Hypotension
- Bladder distension |
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What are possible effects on the fetus from an epidural?
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- decreased variability and fetal heart tones
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What are 3 things you must assess after an epidural is administered?
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- Maternal B/P and pulse
- Fetal heart tones - Bladder distension |
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What is an epidural narcotic analgesia after birth? What must you assess?
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- Provides analgesia for about 24 hours after birth
- 24 hr assessment of V/S |
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How is a spinal block different from an epidural?
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- Anesthetic agent is injected into the subarachnoid space where it mixes with CSF
- Works faster but doesn't last as long |
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When is a spinal block given?
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C- sections
Bi-lateral tubal ligation |
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What maternal complication does a spinal block have that an epidural doesn't?
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Post- spinal headache: gets headache when head is lifted
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What is the treatment for post spinal headache?
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Blood patch
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Are the nursing care the same for an epidural and a spinal?
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Yes
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