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L&D 3

Test #3

QuestionAnswer
Anoxia cause of pain during contractions r/t stricture of blood vessels
Gating Theory stimulating large nerve fibers to stop pain in small nerve fibers involved with labor
Optimal time to administer analgesics in Nullipara 5-6 cms dialated
Optimal time to administer analgesics in Multipara 3-4 cms dialated
Lumbar Epidural (peridural block) blocks spinal nerves in epidural space in lumbar region
Before initiating epidural Hydration is extremely important, 500-1000ml of non-glucose solution 15-30 minutes prior
Pudendal Block perineal anesthesia for second stage of labor (does not relieve pain of uterine cxs)
Dystocia difficult, long or abnormal labor
Hypertonic cxs ineffective and very painful, give analgesics, pt usually wakes with normal cxs
Reassuring fetal heart rate variability, normal hr, accelerations
McRoberts Maneuver mother's legs flexed with knees on abdomen-shoulders can be delivered in shoulder dystocia
Amnioinfusion instillation of saline into the amniotic cavity through a catheter (for cord compression or presence of thick meconium)
Preterm Labor effacement or dilation or both during 27-37 wks of pregnancy
Fetal Fibronectin positive result = increased risk for PTL within 2 weeks
Tocolytics drugs used to stop labor
Magnesium Sulfate 1st line of treatment to stop contractions
Betamethasone stimulates fetal lung maturity
Prolapsed Umbilical Cord cord lies below the presenting part and falls or is washed down through the cervix
Created by: jas067
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