NUR 4445 OB Exam 2 - Answer -Relaxation and Breathing techniques -Ef...

NUR 4445 OB Exam 2

• 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

• Example of relaxation & breathing techniques?

Answer -focusing and relaxation

using an image to focus on (reduces stress/tension)

-breathing

lessen discomfort in uterus

• Examples of effleurage?

Answer -light stroking, on abdomen with breathing

• Examples of counterpressure?

Answer 1 / 4

pressure on sacral area/hips during contractions

• Example of heat & cold?

Answer heat

heating pad, warm blanket (relieves muscles, decreases pain) cold

relieve discomfort when hot

• Examples of touch & massage?

Answer -hand holding

-massage feet, hands, legs

• What does acupressure do?

Answer increase blood flow & decrease secretion of neurotransmitters using pressure/heat/cold

• What does acupuncture do?

Answer restore flow of energy and decrease pain using needles

• What is TENS?

Answer transcutaneous electrical nerve stimulation

• What does TENS used for?

Answer -deliver low intensity electrical impulses good for low back pain during labor 2 / 4

• Where is TENS placed?

Answer -two electrodes

-on thoracic and sacral spines

• What is hydrotherapy?

Answer water therapy

-jetted tub -warm showers

• What are the 5 P's of labor?

Answer

• passageway

• passenger
• position
• psychological forces
• psychosocial considerations

• Which part of the pelvis most influences engagement?

Answer True Pelvis

• What pelvic type is most desirable for vaginal birth?

Answer gynecoid

• What is meant by station? How is it measured?

Answer Descent of the fetal head compared to the ischial spines

• When describing fetal position, what are the 3 landmarks that are includ- ed? 3 / 4

Answer

• infant landmark (occiput, mentum, sacrum, acromion)

• position between mother and fetus (R/L)

3. A/P/T

• What are key elements of the contraction activity to record?

Answer

• Frequency

• Duration
• Intensity

• 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

• 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

• False Labor
• / 4