What are some noninvasive therapeutic treatments we can do for
|\ |\ |\ |\ |\ |\ |\ |\ |\
pain?
|\
breathing exercises |\
position changes |\
guided imagery |\
massage
Which gaseous option could be used to treat pain?
|\ |\ |\ |\ |\ |\ |\ |\
nitrous oxide |\
What is the advantage of using nitrous oxide for pain?
|\ |\ |\ |\ |\ |\ |\ |\ |\
does not cross the placental barrier
|\ |\ |\ |\ |\
wears off quickly |\ |\
IV pain management can be given every
|\ |\ |\ |\ |\ |\
2-4 hours |\
IV pain management should not be given
|\ |\ |\ |\ |\ |\
close to birth |\ |\
What is the disadvantage of IV pain management?
|\ |\ |\ |\ |\ |\ |\
crosses the placental barrier |\ |\ |\
affects the baby |\ |\
What is the treatment for IV pain management given too close to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
birth?
|\
Narcan given to mom prior to birth
|\ |\ |\ |\ |\ |\
Narcan given to baby at birth |\ |\ |\ |\ |\
What are the possible effects of IV pain management on the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
baby?
,respiratory depression |\
Does Epidural cross the placenta?
|\ |\ |\ |\
no
An epidural is a
|\ |\ |\
nerve block |\
An epidural manages pain, but the mom can still feel
|\ |\ |\ |\ |\ |\ |\ |\ |\
pressure
The pressure to push is called the
|\ |\ |\ |\ |\ |\
Ferguson's Reflex |\
What is a pudendal block?
|\ |\ |\ |\
numbs the perineum from the vagina to the rectum
|\ |\ |\ |\ |\ |\ |\ |\
When is the pudendal block administered
|\ |\ |\ |\ |\
late second stage of labor
|\ |\ |\ |\
when it is too late for an epidural
|\ |\ |\ |\ |\ |\ |\
Where is the needle placed for a pudendal block?
|\ |\ |\ |\ |\ |\ |\ |\
ischial spine - pudendal nerve|\ |\ |\ |\
What is the definition of labor?
|\ |\ |\ |\ |\
strong and painful contractions with cervical change
|\ |\ |\ |\ |\ |\
The cervix must be _____ before you add contractions.
|\ |\ |\ |\ |\ |\ |\ |\
ripe
What is the requirement for induction?
|\ |\ |\ |\ |\
the cervix must be ripe
|\ |\ |\ |\
What are the medications used when inducing labor?
|\ |\ |\ |\ |\ |\ |\
Cervadil - medication on a string |\ |\ |\ |\ |\
Cytotec - PO |\ |\
, Which hormone softens the cervix?
|\ |\ |\ |\
prostaglandins
What is the advantage of Cervadil over Cytotec?
|\ |\ |\ |\ |\ |\ |\
Cervadil - medication on a string can be taken out
|\ |\ |\ |\ |\ |\ |\ |\ |\
Cytotec - PO medication |\ |\ |\
The Bishop Score includes which catagories?
|\ |\ |\ |\ |\
dilation
effacement
station
Bishop Score - The higher the score
|\ |\ |\ |\ |\ |\
the more favorable the cervix
|\ |\ |\ |\
The Bishop Score determines the
|\ |\ |\ |\
cervical ripeness |\
Pitocin is managed by the |\ |\ |\ |\
nurse
What does COAT stand for?
|\ |\ |\ |\
Color
Odor
Amount
Time
What is Betamethasone used for?
|\ |\ |\ |\
Used to enhance lung maturity in the fetus if preterm delivery is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
likely.
It is preferred that the baby is delivered _____ hours after the first
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
dose of Betamethasone.
|\ |\ |\
48
Betamethasone is given in _____ doses given _____ hours apart. |\ |\ |\ |\ |\ |\ |\ |\ |\