Concerning systemic analgesia administered during labor, nurses ...

[tiara099]

Concerning systemic analgesia administered during labor, nurses should be aware that:
 
  1. systemic analgesics cross the maternal blood-brain barrier as easily as they do the fetal blood-brain barrier.
  2. effects on the fetus and newborn can include decreased alertness and delayed sucking.
  3. IM administration is preferred over IV administration.
  4. IV patient-controlled analgesia (PCA) results in more analgesia being used.

Question 2

Concerning what might be called the tactile approaches to comfort management, nurses should be aware that:
 
  1. either hot or cold applications might provide relief but they should never be used together in the same treatment.
  2. acupuncture can be applied by a skilled nurse with just a little training.
  3. hand and foot massage may be especially relaxing in advanced labor when a woman's tolerance for touch is limited.
  4. therapeutic touch (TT) uses handheld electronic stimulators that produce sympa-thetic vibrations.

[dpost18]

Answer to Question 1

2
1. Incorrect. Systemic analgesics cross the fetal blood-brain barrier more readily than the maternal blood-brain barrier.
2. Correct. Effects depend on the specific drug given, the dosage, and the timing.
3. Incorrect. IV is preferred over IM because the drug acts faster and more predictably.
4. Incorrect. PCAs result in a lower use of analgesic.

Answer to Question 2

3
1. Incorrect. Heat and cold may be applied alternatively for greater effect.
2. Incorrect. Unlike acupressure, acupuncture, with insertion of thin needles, should be done only by a trained certified therapist.
3. Correct. The woman and her partner should experiment with massage before labor to see what might work best.
4. Incorrect. Therapeutic touch is a laying-on of hands technique that claims to redirect energy fields within the body.

[tiara099]

Thanks for the timely response, appreciate it

[diana chang]

Excellent