OB Exam 3
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1. unique compo- two components: physiologic and psychological
nents of pain dur- pain is subjective and personal
ing birth differs from other types of pain in that it is part of a normal process, there is
preparation time, it is self-limiting, it is intermittent rather than constant, and it
ends with the birth of a baby
women can prepare for the expected pain through childbirth classes, practicing
relaxation techniques, and coping techniques
2. visceral versus both physical sources of pain
somatic pain dur- visceral: (during the first phase of labor)
ing birth stretching of the lower uterine segment cervical tissue with dilation, pressure and
tractionon pelvic structures, uterine tissue ischemia
somatic: (during the second phase of labor)
intense, sharp, burning well-localized pain, pressure against surrounding organs
and tissues, stretching and distension of vagina and perineum
3. factors that influ- physical: labor intensity, cervical readiness, contractions, fetal and maternal posi-
ence pain tion, pelvic anatomy, fatigue, hunger, caregiver interventions
psychosocial: anxiety, fear, previous experiences, preparation, support systems
culture (understanding beliefs, values, expectations, and cultural practices narrows
the cultural gap) nurses should assess women's personal preferences for their care
and advocate for them as needed (best practice: ask the patient's birth coach or
partner if this is a normal way for them to express pain)
4. culture in child- a culturally competent nurse understands the importance of sociocultural in-
birth fluences on women's health beliefs and behaviors and generates appropriate
interventions - assess a woman's preference for her care and advocate for them as
needed.
5.
, OB Exam 3
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labor support be- education (information)
haviors kindness, understanding
positioning
receiving unhurried care
providing a trusting environment
6. nonpharmacolog- advantages: does not slow labor, no drug side effects (for mom or baby), or risk
ical pain of allergy, some pharmacological methods may not eliminate labor pain, may be
management the only realistic option in advanced, rapid labor
limitations: desired level of pain control is not always achieved, even a well pre-
pared and highly motivated woman may have a difficult labor and need analgesia
or anesthesia
7. gate control the- theory of pain management - non painful input and stimulation can close the gate
ory to pain
transmission of nerve impulses is controlled by a neural mechanism in the dorsal
horn of the spinal cord that acts like a gate to control impulses transmitted to the
brain
pain is transmitted through small-diameter sensory nerve fibers
stimulation of large-diameter fibers in the skin blocks conduction of pain through
small-diameter fibers, thereby "closing the gate" and decreasing the amount of
pain felt
8. preparation for biggest component of better pain management during labor is prior preparation
pain manange- childbirth classes
ment ideal time to prepare is before labor
support person learns specific methods to encourage and support
nurse can teach and reinforce, latent phase of labor is the bst time for intrapartum
teaching
9. cutaneous stimulation: heat packs, effleurage (light stroking, usually the abdomen)
during contractions **(sometimes uncomfortable as labor progresses as women
Study online at https://quizlet.com/_iu9y7y
1. unique compo- two components: physiologic and psychological
nents of pain dur- pain is subjective and personal
ing birth differs from other types of pain in that it is part of a normal process, there is
preparation time, it is self-limiting, it is intermittent rather than constant, and it
ends with the birth of a baby
women can prepare for the expected pain through childbirth classes, practicing
relaxation techniques, and coping techniques
2. visceral versus both physical sources of pain
somatic pain dur- visceral: (during the first phase of labor)
ing birth stretching of the lower uterine segment cervical tissue with dilation, pressure and
tractionon pelvic structures, uterine tissue ischemia
somatic: (during the second phase of labor)
intense, sharp, burning well-localized pain, pressure against surrounding organs
and tissues, stretching and distension of vagina and perineum
3. factors that influ- physical: labor intensity, cervical readiness, contractions, fetal and maternal posi-
ence pain tion, pelvic anatomy, fatigue, hunger, caregiver interventions
psychosocial: anxiety, fear, previous experiences, preparation, support systems
culture (understanding beliefs, values, expectations, and cultural practices narrows
the cultural gap) nurses should assess women's personal preferences for their care
and advocate for them as needed (best practice: ask the patient's birth coach or
partner if this is a normal way for them to express pain)
4. culture in child- a culturally competent nurse understands the importance of sociocultural in-
birth fluences on women's health beliefs and behaviors and generates appropriate
interventions - assess a woman's preference for her care and advocate for them as
needed.
5.
, OB Exam 3
Study online at https://quizlet.com/_iu9y7y
labor support be- education (information)
haviors kindness, understanding
positioning
receiving unhurried care
providing a trusting environment
6. nonpharmacolog- advantages: does not slow labor, no drug side effects (for mom or baby), or risk
ical pain of allergy, some pharmacological methods may not eliminate labor pain, may be
management the only realistic option in advanced, rapid labor
limitations: desired level of pain control is not always achieved, even a well pre-
pared and highly motivated woman may have a difficult labor and need analgesia
or anesthesia
7. gate control the- theory of pain management - non painful input and stimulation can close the gate
ory to pain
transmission of nerve impulses is controlled by a neural mechanism in the dorsal
horn of the spinal cord that acts like a gate to control impulses transmitted to the
brain
pain is transmitted through small-diameter sensory nerve fibers
stimulation of large-diameter fibers in the skin blocks conduction of pain through
small-diameter fibers, thereby "closing the gate" and decreasing the amount of
pain felt
8. preparation for biggest component of better pain management during labor is prior preparation
pain manange- childbirth classes
ment ideal time to prepare is before labor
support person learns specific methods to encourage and support
nurse can teach and reinforce, latent phase of labor is the bst time for intrapartum
teaching
9. cutaneous stimulation: heat packs, effleurage (light stroking, usually the abdomen)
during contractions **(sometimes uncomfortable as labor progresses as women
