©SOPHIABENNETT@2024-2025 Monday, August 26, 2024 6:09 AM
OB Exam 2 Study Guide with Complete Solutions
Pain travels along sensory nerve pathways to brain, only a limited number
of sensations can travel the nerve pathways at a given time. Distraction
techniques send alternative signals through these pathways, pain signals
can be blocked and inhibit perception and sensation of pain - Answer✔️✔️-
Gate theory
Best non-pharmacological method for early labor - Answer✔️✔️-Cognitive
strategies (doulas, hypnosis, biofeedback, progressive relaxation)
Best non-pharmacological method for back pain - Answer✔️✔️-Sensory
stimulation (aromatherapy, breathing techniques, imagery, music, focal
points, subdued lighting)
Best non-pharmacological method for active labor/transition - Answer✔️✔️-
Cutaneous stimulation (therapeutic touch and massage, walking, rocking,
effleurage, sacral counter pressure, heat or cold application, TENS,
hydrotherapy, acupressure/acupuncture, maternal position change
Which pharmacological methods would be best for labor - Answer✔️✔️-
Opioids, nitrous oxide, epidural
Which pharmacological methods would be best for c/section - Answer✔️✔️-
Spinal, general
1
, ©SOPHIABENNETT@2024-2025 Monday, August 26, 2024 6:09 AM
Which pharmacological methods would be best for perineal/episiotomy
repair - Answer✔️✔️-Local perineal infiltration anesthesia or pudendal
nerve block
What are the major complications of IV narcotics and how will the nurse
intervene - Answer✔️✔️-IV narcotics cross the placenta which can cause
neonatal respiratory depression. The nurse should administer narcan
What are the major complications of epidurals and how will the nurse
intervene - Answer✔️✔️-Can cause hypotension. Must have IV site and fluid
bolus, monitor bp, monitor fhr continuously, have oxygen and ephedrine
available
What are the major complications of spinals and how will the nurse
intervene - Answer✔️✔️-Maternal hypotension and fetal bradycardia. Bolus
of 500-1000 ml LR or NS 15 min before placement, evaluate FHR
immediately, assess RR and pulse ox every hour
What are the major complications of general and how will the nurse
intervene - Answer✔️✔️-Pain postpartum. Set up PCA pump, assess
readiness to see baby and promote bonding. Also a wedge needs to be
placed under the left hip when administered
When would a patient's labor be induced - Answer✔️✔️-Induction is done
without a medical indication, such as convenience, maternal fears, or
discomfort
2
, ©SOPHIABENNETT@2024-2025 Monday, August 26, 2024 6:09 AM
When would a patient's labor be augmented - Answer✔️✔️-After the labor
has started spontaneously and progress is unsatisfactory
Cytotec is used for - Answer✔️✔️-Cervical ripening
Ulcer medication. Pre-induction cervical ripening or induction of labor.
This med is applied near the cervix, may cause uterine tachysystole.
Maintain supine after admin, May cause uterine tachysystole and CAN
NOT be removed - Answer✔️✔️-Cytotec (prostaglandins)
Cervidil is used for - Answer✔️✔️-Cervical ripening
Ripens cervix making it softer and easier to dilate and efface, applied near
cervix, removed after 12 hours or when pt goes into active labor, have pt
lay on side. May cause uterine tachysystole but CAN be removed -
Answer✔️✔️-Cervidil (prostaglandins)
Pitocin is used for - Answer✔️✔️-Uterine contraction
The medication stimulates uterine contractions, it is a high alert med.
Possible scenarios include placental abruption, uterine rupture,
unnecessary c-section, hemorrhage, infection, fetal hypoxemia and
academia. Assess vs, FHR, and contraction pattern. Watch for signs of
bleeding, tachystole, rom, and fetal distress - Answer✔️✔️-Pitocin (oxytocin)
How is readiness for induction of labor assessed and why is it important? -
Answer✔️✔️-The Bishop score (must score at least an 8). It is important
because it evaluates indelibility and cervical readiness/ripeness
3
