DAVIS ADVANTAGE FOR MATERNAL NEWBORN
NURSING DURHAM COMPREHENSIVE STUDY
QUESTIONS AND ANSWERS
◉ Pharmacological Pain Management.
Answer: The use of medications to manage labor pain, including
opioids, sedatives, nitrous oxide, and regional blocks (epidural,
spinal, pudendal).
◉ Epidural & Spinal Anesthesia.
Answer: Regional anesthesia providing significant pain relief.
Epidurals numb from the waist down (for labor), while spinals numb
from the nipple line down (for C-sections). The main risk is maternal
hypotension.
◉ Induction of Labor.
Answer: The process of medically starting labor in a client who is
not currently in labor. It requires a valid medical reason (e.g.,
preeclampsia, post-dates).
◉ Augmentation of Labor.
, Answer: The process of using medication (e.g., Oxytocin) to
strengthen or regulate contractions in a client who is already in
labor but whose labor is not progressing effectively.
◉ Bishop Score.
Answer: A system for assessing cervical readiness for labor based on
dilation, effacement, station, consistency, and position. A score ≤6
suggests cervical ripening is needed, while a score of 8-10 is
favorable for induction.
◉ Tachysystole.
Answer: Uterine hyperstimulation, defined as more than 5
contractions in 10 minutes or inadequate resting tone between
contractions. It is a major complication of labor
induction/augmentation.
◉ Labor Dystocia.
Answer: Dysfunctional or difficult labor, characterized by stalled or
ineffective progress. Can be hypotonic (weak contractions) or
hypertonic (strong, uncoordinated contractions).
◉ Pain Progression through Stages.
Answer: Pain intensifies through Stage 1 (Latent, Active, Transition).
Stage 2 pain is intense perineal pressure and burning ("ring of fire").
NURSING DURHAM COMPREHENSIVE STUDY
QUESTIONS AND ANSWERS
◉ Pharmacological Pain Management.
Answer: The use of medications to manage labor pain, including
opioids, sedatives, nitrous oxide, and regional blocks (epidural,
spinal, pudendal).
◉ Epidural & Spinal Anesthesia.
Answer: Regional anesthesia providing significant pain relief.
Epidurals numb from the waist down (for labor), while spinals numb
from the nipple line down (for C-sections). The main risk is maternal
hypotension.
◉ Induction of Labor.
Answer: The process of medically starting labor in a client who is
not currently in labor. It requires a valid medical reason (e.g.,
preeclampsia, post-dates).
◉ Augmentation of Labor.
, Answer: The process of using medication (e.g., Oxytocin) to
strengthen or regulate contractions in a client who is already in
labor but whose labor is not progressing effectively.
◉ Bishop Score.
Answer: A system for assessing cervical readiness for labor based on
dilation, effacement, station, consistency, and position. A score ≤6
suggests cervical ripening is needed, while a score of 8-10 is
favorable for induction.
◉ Tachysystole.
Answer: Uterine hyperstimulation, defined as more than 5
contractions in 10 minutes or inadequate resting tone between
contractions. It is a major complication of labor
induction/augmentation.
◉ Labor Dystocia.
Answer: Dysfunctional or difficult labor, characterized by stalled or
ineffective progress. Can be hypotonic (weak contractions) or
hypertonic (strong, uncoordinated contractions).
◉ Pain Progression through Stages.
Answer: Pain intensifies through Stage 1 (Latent, Active, Transition).
Stage 2 pain is intense perineal pressure and burning ("ring of fire").
