Which of the following factors would affect pain perception or ...

[Jkov05]

Which of the following factors would affect pain perception or tolerance for the laboring client?
 
  a. Right occiput posterior fetal position during labor
  b. Bishop score of 10 prior to the induction of labor
  c. Gynecoid pelvis
  d. Absence of Ferguson's reflex

Question 2

Which method of pain management would be safest for a gravida 3, para 2, admitted at 8 cm cervical dilation?
 
  a. Narcotics
  b. Spinal block
  c. Epidural anesthesia
  d. Breathing and relaxation techniques

[Chocorrol77]

Answer to Question 1

ANS: A
A fetus in the posterior position during labor can cause increased back pain to the mother because it is spine against spine. A Bishop score of 10 indicates that conditions are favorable for induction; the cervix is soft, anterior, effaced, and dilated and the presenting part is engaged. A gynecoid pelvic structure is considered to be an adequate passage for vaginal birth. Ferguson's reflex occurs when a contraction is stimulated as a result of vaginal stimulation.

Answer to Question 2

ANS: D
Nonpharmacologic methods of pain management may be the best option for a woman in advanced labor. At 8 cm cervical dilation there probably not enough time remaining to administer spinal anesthesia or epidural anesthesia. A narcotic given at this time may reach its peak at about the time of birth and result in respiratory depression in the newborn.

[Jkov05]

Excellent

[jamesnevil303]

TYSM