Author Question: Many women seek alternative or complementary pain relief during labor to delay or avoid ... (Read 92 times)

go.lag · **on:** Jun 28, 2018

Many women seek alternative or complementary pain relief during labor to delay or avoid pharmacologic or invasive therapies.

Evidence regarding the use of these modalities has been sparse, and so they remain underutilized. Published reviews of the best-known therapies identified the benefits of each modality for the woman in labor. Please match the alternative modality with the correct research finding.
a. Yoga d. Water immersion
b. Massage e. Aromatherapy
c. Acupuncture

37. Less pain intensity, decreased use of analgesia, fewer instrumental births

38. Significantly decreased use of analgesia, shorter labor

39. No difference when compared with placebo

40. Less pain and anxiety during the first stage of labor

41. Reduced length of labor, increased satisfaction of pain relief

Question 2

The class of drugs known as opioid analgesics (butorphanol, nalbuphine) is not suitable for administration to women with known opioid dependence.

The antagonistic activity could precipitate withdrawal symptoms (abstinence syndrome) in both mothers and newborns. Signs of opioid/narcotic withdrawal in the mother would include (Select all that apply):
a. Yawning, runny nose.
b. Increase in appetite.
c. Chills and hot flashes.
d. Constipation.
e. Irritability, restlessness.

amit · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

37. ANS: C
38. ANS: D
39. ANS: E
40. ANS: B
41. ANS: A

Answer to Question 2

ANS: A, C, E
The woman experiencing maternal opioid withdrawal syndrome will exhibit yawning, runny nose, sneezing, anorexia, chills or hot flashes, vomiting, diarrhea, abdominal pain, irritability, restlessness, muscle spasms, weakness, and drowsiness. It is important for the nurse to assess both mother and baby and to plan care accordingly.