NM 704 Exam 3 Module 6 Exam Questions & Revised Correct Answers With Explanation Latest Update | Already Passed!!

NM 704 Exam 3 Module 6 Exam Questions & Revised Correct Answers With Explanation Latest Update | Already Passed!! Effectiveness *Heat & Cold* for reducing pain & increasing comfort in labor: - ANSWER : ● Heat applied where fetal head presses (lower back or abdomen) may decrease pain by causing increased circulation to affected tissue ● Cold application has a numbing effect ● Some find relief w/ cold if heat unsuccessful whereas some find alternating between heat & cold most comforting ● No specific studies for effectiveness ● Multiple contraindications - areas anesthetized by epidural - fever - raynauds - sickle cell Components of an admission *history* when a ♀ is in labor. - ANSWER : ● Age- extremes associated with increased risk for adverse outcomes ● Parity- influences labor progress and duration ● EDD and gestational weeks- Identifies potential newborn complications. Allows for evaluating fetal size r/t gestational age ● Complications of current pregnancy including GBS status- identifies existing and/or potential problems ● Major complications w/ previous pregnancies- identifies potential recurring problems ● Previous labor experiences including durationinfluences expectations and identifies potential coping strategies ● Mode of previous births/deliveries- identifies operative, vaginal, and c-section; influences management ● Size of previous babies- estimate of pelvic adequacy ● Fetal movement pattern- fetal well-being ● Vaginal bleeding- differentiated from bloody show; vaginal bleeding is abnormal, contraindicative of digital cervical exam and indicates need for collaboration ● Status of membranes- duration of ROM and characteristics of amniotic fluid (meconium) ● Time of onset of contractions and characteristics (frequency, duration, intensity, aggravating/relieving factors)-helps discriminate true from false labor as well as establishes onset of labor ● Last oral intake- baseline energy and fluid status; useful for anesthesia in case of need for surgery