NUR 4445 OB Exam 2
1. Nonpharmacologic Pain Management
Answer
-Relaxation and Breathing techniques
-Effleurage
-Counterpressure
-Heat & cold
-Touch & massage
-Acupressure & acupuncture
-Transcut. electrical nerve stimulation
-hydrotherapy
-aromatherapy
-music
-hypnosis
-biofeedback
2. Example of relaxation & breathing techniques?
Answer
-focusing and relaxation
using an image to focus on (reduces stress/tension)
-breathing
lessen discomfort in uterus
3. Examples of effleurage?
Answer
-light stroking, on abdomen with breathing
4. Examples of counterpressure?
Answer
,pressure on sacral area/hips during contractions
5. Example of heat & cold?
Answer
heat
heating pad, warm blanket (relieves muscles, decreases pain)
cold
relieve discomfort when hot
6. Examples of touch & massage?
Answer
-hand holding
-massage feet, hands, legs
7. What does acupressure do?
Answer
increase blood flow & decrease secretion of neurotransmitters using pressure/heat/cold
8. What does acupuncture do?
Answer
restore flow of energy and decrease pain using needles
9. What is TENS?
Answer
transcutaneous electrical nerve stimulation
10. What does TENS used for?
Answer
-deliver low intensity electrical impulses good for low back pain during labor
,11. Where is TENS placed?
Answer
-two electrodes
-on thoracic and sacral spines
12. What is hydrotherapy?
Answer
water therapy
-jetted tub
-warm showers
13. What are the 5 P's of labor?
Answer
1. passageway
2. passenger
3. position
4. psychological forces
5. psychosocial considerations
14. Which part of the pelvis most influences engagement?
Answer
True Pelvis
15. What pelvic type is most desirable for vaginal birth?
Answer
gynecoid
16. What is meant by station? How is it measured?
Answer
Descent of the fetal head compared to the ischial spines
17. When describing fetal position, what are the 3 landmarks that are includ- ed?
, Answer
1. infant landmark (occiput, mentum, sacrum, acromion)
2. position between mother and fetus (R/L)
3. A/P/T
18. What are key elements of the contraction activity to record?
Answer
1. Frequency
2. Duration
3. Intensity
19. What are signs labor may happen soon?
Answer
-Lightening
-Braxton's hicks ctx
-Cervical changes
-Sudden bursts of energy
-Weight loss
-Indigestion
-N&V
-Diarrhea
-Bloody show
-ROM
20. True Labor
Answer
-Progressive D & E
-Regular ctx increasing in freq./dur./intensity
-Pain starts in back and radiates to front
-Pain not relieved by amb. or resting
-Walking may make ctx stronger
21. False Labor
1. Nonpharmacologic Pain Management
Answer
-Relaxation and Breathing techniques
-Effleurage
-Counterpressure
-Heat & cold
-Touch & massage
-Acupressure & acupuncture
-Transcut. electrical nerve stimulation
-hydrotherapy
-aromatherapy
-music
-hypnosis
-biofeedback
2. Example of relaxation & breathing techniques?
Answer
-focusing and relaxation
using an image to focus on (reduces stress/tension)
-breathing
lessen discomfort in uterus
3. Examples of effleurage?
Answer
-light stroking, on abdomen with breathing
4. Examples of counterpressure?
Answer
,pressure on sacral area/hips during contractions
5. Example of heat & cold?
Answer
heat
heating pad, warm blanket (relieves muscles, decreases pain)
cold
relieve discomfort when hot
6. Examples of touch & massage?
Answer
-hand holding
-massage feet, hands, legs
7. What does acupressure do?
Answer
increase blood flow & decrease secretion of neurotransmitters using pressure/heat/cold
8. What does acupuncture do?
Answer
restore flow of energy and decrease pain using needles
9. What is TENS?
Answer
transcutaneous electrical nerve stimulation
10. What does TENS used for?
Answer
-deliver low intensity electrical impulses good for low back pain during labor
,11. Where is TENS placed?
Answer
-two electrodes
-on thoracic and sacral spines
12. What is hydrotherapy?
Answer
water therapy
-jetted tub
-warm showers
13. What are the 5 P's of labor?
Answer
1. passageway
2. passenger
3. position
4. psychological forces
5. psychosocial considerations
14. Which part of the pelvis most influences engagement?
Answer
True Pelvis
15. What pelvic type is most desirable for vaginal birth?
Answer
gynecoid
16. What is meant by station? How is it measured?
Answer
Descent of the fetal head compared to the ischial spines
17. When describing fetal position, what are the 3 landmarks that are includ- ed?
, Answer
1. infant landmark (occiput, mentum, sacrum, acromion)
2. position between mother and fetus (R/L)
3. A/P/T
18. What are key elements of the contraction activity to record?
Answer
1. Frequency
2. Duration
3. Intensity
19. What are signs labor may happen soon?
Answer
-Lightening
-Braxton's hicks ctx
-Cervical changes
-Sudden bursts of energy
-Weight loss
-Indigestion
-N&V
-Diarrhea
-Bloody show
-ROM
20. True Labor
Answer
-Progressive D & E
-Regular ctx increasing in freq./dur./intensity
-Pain starts in back and radiates to front
-Pain not relieved by amb. or resting
-Walking may make ctx stronger
21. False Labor
