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What are the 6 Non-pharmacologic pain management techniques?
- 1. Continous labor support
- 2. Hydrotherapy
- 3. Ambulation and position changes
- 4. Attention focusing and imagery
- 5. Therapeutic touch and massage
- 6. Breathing Techniques
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What are the 5 Systemic Medications?
- 1. Synthetic Opiod agonist-antagonist - Stadol
- 2. Opiods- Morphine, Demerol
- 3. Ataractics- Hydroxyzine
- 4. Benzodiazepines - Diazepam
- 5. Barbituates - Pentobarbital
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What are the advantages and disadvantages of an Epidural?
Advantages : Good Analgesia, Woman Awake, Contiuous Technique, and Dose can be adjusted
Disadvantages: Maternal hypotension (Mom will be hydrated with IV Bolus), Postdural puncture seizuress, Meningitis, Cardio Respiratory Arrest, Vergtigo, and onset may not occur for 30 Minutes.
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What are the advantages and disadvantages of a Spinal Block?
Advantages: Immediate onset, smalled drug volume, easy administration, and maternal compartmentalization.
Disadvantages: High incidence of hypotension, fetal hypoxia, uterine tone is maintained, short acting, possible spinal headaches.
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What should the nurse do before administration of Epidurals?
- 1. Assess maternal and fetal status
- 2. Assess labor progress
- 3. Start IV and administer preload
- 4. Help woman with chin to chest position.
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What should the nurse do AFTER administration of Epidurals?
- 1. Monitor maternal and fetal vital signs
- 2. Assess for hypotension ( Fluids if she has hypotension)
- 3. Administer Antimetics
- 4. Monitor Respiratory rate
- 5. Assess bladder (catheterize, wont feel need to urinate.)
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What are possible nursing diagnosis with the normal post partum family?
- 1. Ineffective Breastfeeding
- 2. Disturbed Sleep Paterns
- 3. Acute Pain
- 4. Risk for constipation
- 5. Risk for FVD
What are interventions and preventions?
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What are Reva Rubin's 3 phases
- 1. Taking In- Centered on herself, Birth to 3 days.
- 2. Taking Hold- Independent will let it known shes tired
- 3. Letting Go- Reestablishes bonds with other people.
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What is the nursing management during postpartum period?
- 1. Promoting activity, rest and kegal exercises
- 2. Assisting with self care measures.
- 3. Ensuring Safety
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