Nonpharmacological and Pharmacological Pain Relief Measures in Pregnancy

Play an AI-generated podcast conversation about this lesson

What propels the fetus downward through the pelvis in the second stage of labour?

Uterine contractions only

Combined powers of uterine contractions and voluntary maternal pushing (correct)

Voluntary maternal pushing only

Fetal movements

When do most women feel a strong urge to push or bear down during labour?

When the cervix is partially dilated

When the cervix is fully dilated and the fetus begins to descend (correct)

When the fetus is in a breech position

At the beginning of the first stage of labour

Which maternal position is often associated with shorter labours?

Standing position

Supine position

Sitting or kneeling position (correct)

Prone position

What type of pelvis is directly involved in childbirth?

Inlet pelvis Signup and view all the answers

In which stage of labour do women usually change positions frequently?

First stage Signup and view all the answers

What effect does anxiety and fear have on uterine contractions during labour?

Inhibits uterine contractions Signup and view all the answers

Which of the following is a sign of impending labour related to uterine contractions?

Increased vaginal discharge Signup and view all the answers

What is the term for the mechanism of labour that involves the descent of the baby into the pelvis?

Engagement Signup and view all the answers

Which stage of labour involves dilation and effacement of the cervix?

First stage Signup and view all the answers

What is the preferred method of fetal heart rate monitoring in an uncomplicated pregnancy?

Intermittent auscultation Signup and view all the answers

What are the components of the birth process according to the text?

Five 'Ps' Signup and view all the answers

Which term describes the effect of uterine contractions on the cervix?

Dilation Signup and view all the answers

What is the recommended duration for a safe uterine contraction, as per the safety alert in the text?

Less than 60 seconds Signup and view all the answers

Which term refers to the strength of uterine contractions?

Intensity Signup and view all the answers

What is the effect of uterine contractions on the cervix during the 'Efface' phase?

Cervical softening Signup and view all the answers

What is the purpose of using pharmacological methods during labor?

To decrease the rate of obstetrical interventions Signup and view all the answers

Which medication should be avoided if birth is anticipated within 1 hour?

Narcotic (opioid) analgesics Signup and view all the answers

What is the role of the nurse in pharmacological techniques during labor?

Determine the woman's preference for pain relief Signup and view all the answers

What is the purpose of an episiotomy during birth?

To control surgical enlargement of the vaginal opening Signup and view all the answers

What is the main concern related to perineal lacerations during childbirth?

Resulting in uncontrolled tear of tissues Signup and view all the answers

What is the primary purpose of empathy in nursing care during labor?

To support the partner or support person Signup and view all the answers

How does childbirth pain differ from other types of pain?

It is self-limiting and rapidly declines after birth Signup and view all the answers

What can modify labor pain according to the text?

Cervical readiness for labor Signup and view all the answers

What are the limitations of nonpharmacological pain management methods?

They are only effective if practiced beforehand Signup and view all the answers

In what way do psychosocial factors modify labor pain?

By initiating the fear – tension – pain cycle Signup and view all the answers

Which nonpharmacological measure can aid in a woman's ability to work through contractions?

Breathing Signup and view all the answers

What is the primary advantage of most pharmacological pain management methods during labor?

They have minimal adverse effects Signup and view all the answers

Which type of breathing is used during the second stage of labor when pushing?

Constant pattern breathing Signup and view all the answers

What can result from the sluggish GI tract during pregnancy in relation to analgesia and anesthesia?

Increased risk of vomiting and aspiration Signup and view all the answers

Which nonpharmacological measure involves applying pressure to the sacrum and can aid in pain relief during labor?

Sacral pressure Signup and view all the answers

What is the primary role of uterine contractions during labor?

To cause dilation and effacement of the cervix Signup and view all the answers

How do uterine contractions affect the cervix?

They cause the cervix to thin and open Signup and view all the answers

What is the effect of uterine contractions on the fetal heart rate?

100bpm heart rate Signup and view all the answers

What is a characteristic of vigorous uterine contractions during labor?

Lusty cry Signup and view all the answers

How do uterine contractions contribute to the birth process?

By propelling the fetus downward through the pelvis Signup and view all the answers

What is a consequence of weak uterine contractions during labor?

Delayed progress in labor Signup and view all the answers

What is an expected outcome of effective uterine contractions during labor?

Promotion of parent–infant bonding Signup and view all the answers

In which stage of labor do uterine contractions play a crucial role in expelling the placenta?

Third stage Signup and view all the answers

What is a potential consequence of erratic uterine contractions during labor?