Decelerations that mirror the contractions are present with each ...

[Coya19@aol.com]

Decelerations that mirror the contractions are present with each contraction on the monitor strip of a multipara who received epidural anesthesia 20 minutes ago. The nurse should:
 
  a. maintain the normal assessment routine.
  b. administer O2 at 8 to 10 L/min by face mask.
  c. increase the IV flow rate from 125 to 150 mL/hr.
  d. assess the maternal blood pressure for a systolic pressure below 100 mm Hg.

Question 2

What describes nonpharmacologic techniques for pain management?
 
  a. They may reduce pain perception.
  b. They usually take too long to implement.
  c. They make pharmacologic strategies unnecessary.
  d. They trick children into believing they do not have pain.

[vickyvicksss]

Answer to Question 1

ANS: A
Decelerations that mirror the contraction are early decelerations caused by fetal head compression. Early decelerations are not associated with fetal compromise and require no intervention. Administering O2, increasing the IV flow rate, and assessing for hypotension are not necessary in early decelerations.

Answer to Question 2

ANS: A
Nonpharmacologic techniques provide coping strategies that may help reduce pain perception, make the pain more tolerable, decrease anxiety, and enhance the effectiveness of analgesics. The nonpharmacologic strategy should be matched with the child's pain severity and be taught to the child before the onset of the painful experience. Tricking children into believing they do not have pain may mitigate the child's experience with mild pain, but the child will still know the discomfort was present.

[Coya19@aol.com]

Thanks for the timely response, appreciate it

[amit]

Gracias!