Pain Flashcards Preview

NURS 3800 > Pain > Flashcards

Flashcards in Pain Deck (108)
Loading flashcards...
0

What can influence pain perception

Childbirth education
Cultural background
Fatigue/lack of sleep
Personal significance
Anxiety
Genetics
Previous experiences
Support

1

A laboring mother is very anxious, crying, and has a decreased perceptual field. You need her consent for the epidural. What should you do?

Wait until she calms down

2

Does quietness mean there is no pain

No

3

What is effacement

Thinning of the cervical area

4

What are the three phases in the first stage of labor

Latent
Active
Transition

5

What phase of labor is the most painful in the first stage

Transition

6

What causes the pain during the first stage

Hypoxic uterine cells
Pressure-adjacent structures( due to child coming down through pelvis) distention of lower uterus
Dilation, effacement, stretching of uterus

7

When does the second stage of labor start

When mother is 10 cm dilated

8

What causes the pain in the second stage

Hypoxic uterine cells
Distention- vagina and perineum (child has to come through)
Pressure-adjacent structures
Lacerations

9

When does the third stage of labor begin

After child is born

10

What causes the pain during the third stage

Contractions (much less intense)
Cervical dilation

11

How long should it take for placenta to be delivers

5-30 ,minutes

If it takes longer they need to use a D&C (cervical scrapping) to get placenta out

12

What is the one thing that all non pharmacological pain management tools include

Education

13

What are the goals of breathing patterns

Oxygenate
Relaxation
Decrease pain and anxiety
Slow breathing to prevent hyperventilation

14

Lamaze

Mind prevention
Controlled breathing, toning, relaxation

15

Bradley

Partner coached
Slow controlled abdominal breathing
Teaching techniques directed towards coach vs mother

16

Dick-read

Believes fear built state of tension

Knowledge to decrease pain and abdominal breathing

17

Kitzinger

Strong believer in home births

18

Hypnobreathing

Hypnotized

19

Effleurage

Rhythmic stroking if abdomen during pain

20

What is sacral pressure

Back rubs during contractions

21

Should you encourage or discourage vocalization during labor?

Encourage

Can promote relaxation and help to relieve tension

22

What is the goal of analgesics during labor

Relieve pain
Minimal motor blockage


Use small amount possible because baby will get it too

23

What happens if analgesics are given too early?
Too late?

Early- May prolong labor
Late- little value and may cause neonatal respiratory depressions

24

Contraindications for an epidural

Allergy
Compromised respiratory
Drug dependence
Fetal heart rate out of normal range
Meconium stained fluid
Infection/hypovolemia

25

Why is Meconium stained fluid a contraindication of epidural

That means the baby is already stressed and no more stress in the fetus is necessary

26

Does analgesia and anesthesia affect the fetus?

Yes, crosses placenta barrier

Fetal liver enzymes and renal system can't metabolize drugs yet

27

Stress ____ amount of blood volume to fetus brain

Increases

28

Labor may ____ drug clearance and _____ half-life of some drugs

Decrease

Increase

29

Is oral route used for laboring mom as a means of medical administration

No

Very rarely