What is considered non-pharmacological pain management from the list below? (please select all that apply)
Create a warm relaxing environment
Administering sacral counter pressure
Epidural injection
Effleurage
Correct Answer : A,B,D
A. Create a warm relaxing environment: A warm and relaxing environment can help reduce stress and anxiety, contributing to pain relief during labor.
B. Administering sacral counterpressure: Sacral counterpressure, where pressure is applied to the lower back, is a non-pharmacological method used to relieve labor pain, particularly during back labor.
C. Epidural injection: An epidural injection is a pharmacological pain management technique, as it involves the administration of anesthetic drugs.
D. Effleurage: Effleurage is a light, circular massage technique that helps distract the mother from contraction pain, making it a non-pharmacological pain relief method.
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Related Questions
Correct Answer is A
Explanation
A. Epidural Anesthesia. Epidural anesthesia involves injecting a local anesthetic into the epidural space, blocking pain signals from the lower body to the brain. It is commonly administered when the cervix is at least 4 cm dilated in active labor.
B. Local anesthesia. Local anesthesia numbs a specific, smaller area of the body and is typically used for procedures such as episiotomies or repairs, not for labor pain relief.
C. Pudendal block. A pudendal block is an injection that numbs the perineal area but does not block pain from contractions. It is used for pain relief during the second stage of labor or for episiotomies.
D. General anesthesia. General anesthesia affects the entire body and is rarely used in labor unless there is an emergency cesarean section when regional anesthesia is not possible.
Correct Answer is A
Explanation
A. Weakened uterine contractions: Terbutaline is a tocolytic medication used to relax the uterus and reduce or stop preterm uterine contractions.
B. Maternal glucose 63 mg/dL: Terbutaline can cause hyperglycemia, not hypoglycemia. Therefore, a glucose level of 63 mg/dL would not be an expected finding.
C. Enhanced fetal lung surfactant: Betamethasone, not terbutaline, is used to enhance fetal lung maturity by increasing surfactant production.
D. Fetal heart rate 100/min:Terbutaline can cause tachycardia, so a fetal heart rate of 100/min (bradycardia) would be unexpected.
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