Nitrous Oxide for Labour Pain Relief

<p>It provides immediate pain relief even in home settings. (A)</p> Signup and view all the answers

<p>Maintaining mobility and control over the administration. (D)</p> Signup and view all the answers

<p>Enhances the release of endorphins (D)</p> Signup and view all the answers

<p>Enhances GABA-A receptor activity (C)</p> Signup and view all the answers

<p>30-50 seconds (A)</p> Signup and view all the answers

<p>Preservation of client mobility (A)</p> Signup and view all the answers

<p>No effect on fetal heart rate (A)</p> Signup and view all the answers

<p>Respiratory depression (D)</p> Signup and view all the answers

<p>Cortisol (A)</p> Signup and view all the answers

<p>COVID-19 pandemic (C)</p> Signup and view all the answers

<p>Rapid offset in 1-2 breaths of room air (D)</p> Signup and view all the answers

<p>No effect on uterine activity (C)</p> Signup and view all the answers

<p>Use of prophylactic uterotonics (D)</p> Signup and view all the answers

<p>Optimal physiologic management may reduce blood loss more effectively. (B)</p> Signup and view all the answers

<p>Active management (B)</p> Signup and view all the answers

<p>Greater afterpains (D)</p> Signup and view all the answers

<p>Uterine massage (D)</p> Signup and view all the answers

<p>Honoring cultural ceremonies and safe care (D)</p> Signup and view all the answers

<p>Early cord clamping (B)</p> Signup and view all the answers

<p>Inclusion of uterotonics no longer in routine use (A)</p> Signup and view all the answers

<p>It improves hematologic status and quality of life. (C)</p> Signup and view all the answers

<p>IV iron therapy leads to lower fatigue and depression scores at 12 weeks. (C)</p> Signup and view all the answers

<p>The social and cultural context of the client. (C)</p> Signup and view all the answers

<p>The importance of continuity of care and midwife assessment skills. (D)</p> Signup and view all the answers

<p>The emotional and psychological impact of the experience. (C)</p> Signup and view all the answers

<p>Racism impacting equitable rates of postpartum hemorrhage (D)</p> Signup and view all the answers

<p>Expectant management (A)</p> Signup and view all the answers

<p>Client's risk factors, preferences, values, and risk tolerance (B)</p> Signup and view all the answers

<p>Client's physiological processes during labor (C)</p> Signup and view all the answers

<p>Self-reflection and addressing implicit biases (B)</p> Signup and view all the answers

<p>Delaying cord clamping and waiting for spontaneous placental delivery (D)</p> Signup and view all the answers

<p>Access to advanced medical facilities (C)</p> Signup and view all the answers

<p>Ongoing throughout antenatal and intrapartum care (A)</p> Signup and view all the answers

<p>Cultural competency and relatability (B)</p> Signup and view all the answers

<p>Some clients may be ready for discussions at different times. (B)</p> Signup and view all the answers

<p>Maintain communication to help clients process their experiences. (C)</p> Signup and view all the answers

<p>It allows clients to reflect and recover in a supported manner. (A)</p> Signup and view all the answers

<p>Referring clients for counseling to address mental health issues. (C)</p> Signup and view all the answers

<p>It may escalate with inadequate follow-up care. (A)</p> Signup and view all the answers

<p>They may provide additional support to aid clients' recovery. (D)</p> Signup and view all the answers

<p>Providing long-term follow-up care for mental health support. (C)</p> Signup and view all the answers

<p>Support from the primary care team. (D)</p> Signup and view all the answers

<p>They vary significantly based on factors like race. (A)</p> Signup and view all the answers

<p>Only physical health is prioritized in recovery. (C)</p> Signup and view all the answers

<p>Active management is associated with increased risk of blood loss. (C)</p> Signup and view all the answers

<p>It is utilized regardless of the third-stage management approach. (B)</p> Signup and view all the answers

<p>It can stimulate the release of oxytocin. (D)</p> Signup and view all the answers

<p>Midwives must support the client's cultural practices associated with the third stage. (B)</p> Signup and view all the answers

<p>To offer delayed cord clamping. (C)</p> Signup and view all the answers

<p>Signs of placental separation and excessive blood loss. (C)</p> Signup and view all the answers

<p>Proper knowledge, skills, and judgment. (A)</p> Signup and view all the answers

<p>Risks and benefits, risk factors, and client preferences. (C)</p> Signup and view all the answers

<p>It improves neonatal blood volume and iron stores. (B)</p> Signup and view all the answers

<p>To understand that risk factors are not always predictive of PPH. (A)</p> Signup and view all the answers

<p>Uterine massage after delivery of the placenta (C)</p> Signup and view all the answers

<p>Higher rates of afterpains (C)</p> Signup and view all the answers

<p>For reducing rates of blood loss ≥ 500 mL (B)</p> Signup and view all the answers

<p>Early cord clamping (A)</p> Signup and view all the answers

<p>Providing culturally safe care and honoring cultural ceremonies (B)</p> Signup and view all the answers

<p>They are associated with a decrease in blood loss of ≥ 500 mL. (B)</p> Signup and view all the answers

<p>Immediate follow-up for routine vaccinations (A)</p> Signup and view all the answers

<p>Fundal massage post-delivery (B)</p> Signup and view all the answers

<p>Alleviation of fatigue and improvement in quality of life (D)</p> Signup and view all the answers

<p>IV iron therapy is associated with fewer gastrointestinal symptoms. (B)</p> Signup and view all the answers

<p>The cultural and social context of the client’s life. (B)</p> Signup and view all the answers

<p>Clients should receive iron supplementation as clinically indicated with a strong recommendation. (B)</p> Signup and view all the answers

<p>Encouraging open discussions about emotional and psychological concerns. (D)</p> Signup and view all the answers

<p>It should include client preferences and values. (B)</p> Signup and view all the answers

<p>Promoting spontaneous delivery of the placenta. (C)</p> Signup and view all the answers

<p>Straightforward physiologic management. (A)</p> Signup and view all the answers

<p>Believing structural racism does not affect healthcare outcomes. (D)</p> Signup and view all the answers

<p>By considering the clients’ risk tolerance and values. (B)</p> Signup and view all the answers

<p>Improvement in equity of care for all clients. (C)</p> Signup and view all the answers

<p>Spontaneous delivery of the placenta without interventions. (D)</p> Signup and view all the answers

<p>It helps close gaps in care quality and safety. (D)</p> Signup and view all the answers

<p>In an ongoing manner throughout client care. (B)</p> Signup and view all the answers

<p>Equitable care addressing cultural and social contexts. (D)</p> Signup and view all the answers

<p>Increased risk of blood loss ≥ 1000 mL (B)</p> Signup and view all the answers

<p>Encouragement of delayed cord clamping (D)</p> Signup and view all the answers

<p>Client’s preferences, values, and risk tolerance (B)</p> Signup and view all the answers

<p>Stimulates the release of oxytocin (D)</p> Signup and view all the answers

<p>Appropriate knowledge, skills, and judgment (A)</p> Signup and view all the answers

<p>Documenting the client’s choice of management (D)</p> Signup and view all the answers

<p>Promotion of natural processes to manage blood loss (B)</p> Signup and view all the answers

<p>Respecting and supporting clients’ cultural practices (A)</p> Signup and view all the answers

<p>Signs of placental separation (B)</p> Signup and view all the answers

<p>The adequacy of natural healing processes (D)</p> Signup and view all the answers

<p>Flexible timing is crucial as clients may have varying levels of readiness. (A)</p> Signup and view all the answers

<p>To engage in good communication that aids client understanding of their experience. (B)</p> Signup and view all the answers

<p>It facilitates an understanding of clients’ feelings during recovery. (B)</p> Signup and view all the answers

<p>Support from the client’s primary care team. (D)</p> Signup and view all the answers

<p>To offer or refer clients for counseling. (D)</p> Signup and view all the answers

<p>Effective follow-up helps clients comprehend their treatment journey. (B)</p> Signup and view all the answers

<p>Support is only necessary during the hospital stay. (D)</p> Signup and view all the answers

<p>Integrating both physical and mental health resources. (D)</p> Signup and view all the answers

<p>It deals with potential long-term mental health impacts. (D)</p> Signup and view all the answers

<p>To offer ongoing support and resources for recovery. (B)</p> Signup and view all the answers

A colorless gas used for pain relief during childbirth, with fast action and safety.

Pain relief during childbirth.

Provides pain relief, especially when dilation is above 5cm, while maintaining client control and mobility, and reduces anxiety.

Linked to maintaining mobility and control during N2O administration.

Reducing pain and anxiety.

N2O increases the release of endorphins, dopamine, and other brain opioids, similar to morphine-like effects.

N2O works similarly to benzodiazepines, increasing prolactin and decreasing cortisol to reduce stress responses, and it activates GABA-A.

N2O has a very rapid onset (30-50 seconds) and offset (1-2 breaths room air).

N2O does not affect fetal heart rate or Apgar scores, and crosses the placenta.

N2O preserves the client's mobility during procedure.

N20 in a mixture with 50% oxygen does not cause respiratory depression or diffusion hypoxia when the infant starts breathing.

N2O adverse effects include nausea, dizziness/vertigo.

N2O does not affect uterine contractions.

N2O is a cost-effective anesthetic.

N2O is a non-invasive anesthetic agent.

A package of interventions used after delivery to help prevent postpartum hemorrhage (PPH), typically involving uterotonic medications.

A more passive approach to the third stage of labor, where interventions are only used if there are complications.

A midwifery-led approach focusing on natural processes and minimal interventions, aimed at preventing PPH and promoting optimal physiology.

Practices used during the third stage of labor to manage the delivery of the placenta and minimize complications.

A technique used to help the uterus contract and reduce bleeding after delivery.

Pulling gently on the umbilical cord to help deliver the placenta.

Drugs given to help the uterus contract and reduce bleeding after childbirth.

Respecting and incorporating cultural beliefs and practices into care during the third stage of labor.

Providing care by a midwife of the same racial or ethnic background as the client.

Groups of birthing people who face systemic barriers and inequities in accessing quality healthcare.

Excessive bleeding after childbirth, posing a significant health risk to the birthing parent.

The degree to which a client is willing to accept potential risks associated with different birth choices.

Conversations between midwives and clients about birth plans, options, and potential risks.

Consistent care provided by the same midwife throughout the entire pregnancy and postpartum period.

New risks that arise during pregnancy or labor that require adjustments in care.

A medication given to help the uterus contract and prevent excessive bleeding after childbirth.

Oral iron supplementation and IV iron supplementation are the two options for treating iron deficiency anemia following PPH, based on clinical indicators.

Postpartum Hemorrhage (PPH) can contribute to or worsen iron deficiency anemia, leading to fatigue and other symptoms.

While IV iron therapy can offer faster results, oral iron is often preferred due to its accessibility and potential for fewer adverse effects, such as gastrointestinal issues, for most individuals.

Midwives play a crucial role in identifying and managing iron deficiency anemia after PPH, providing clients with individualized care based on their needs, preferences, and availability.

Midwives should consider a client's broader social and cultural context when addressing iron deficiency anemia, ensuring equitable access to treatment and respecting client preferences.

The practice of waiting for a period of time after birth before clamping the umbilical cord, allowing for greater blood flow to the baby.

Clients should be informed about the options for managing the third stage of labor, including both active and physiologic management.

Certain risk factors can increase the chance of a client experiencing postpartum hemorrhage (PPH).

Holding the newborn baby against the mother's skin immediately after birth.

Respecting and incorporating the client's cultural beliefs and practices related to the third stage of labor.

Skin-to-skin contact and breastfeeding can stimulate the release of oxytocin, which helps the uterus contract.

Midwives monitor for signs that the placenta has separated from the uterus, indicating it is ready to be delivered.

Meetings should allow for different client readiness levels, recognizing that some may be further along in their recovery than others.

Providing ongoing support and resources to help clients navigate the postpartum period, including addressing mental health concerns and connecting them with appropriate services.

Maintaining open communication with clients after discharge, providing clear explanations about their experience and advocating for additional support from their primary care team.

Offering or referring clients to mental health professionals for long-term support to address potential postpartum mental health issues.

Minimal interventions during the third stage of labor, awaiting placental separation and delivery without medication.

Encourages natural processes of the third stage, using techniques to promote the body's natural delivery of the placenta.

Two options to treat iron deficiency after PPH are oral iron supplementation and IV iron supplementation, based on clinical needs.

Midwives play a vital role in identifying and managing iron deficiency anemia after PPH, providing individualized care based on the client's needs, preferences, and access to resources.

Midwives should consider the broader social and cultural context of clients when addressing iron deficiency anemia, ensuring equitable access to treatment and respecting client preferences.