*NURSING > STUDY GUIDE > NURSING NUR 2460C parent child exam 3 study guide with complete solution (All)

NURSING NUR 2460C parent child exam 3 study guide with complete solution

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parent child exam 3 Chapter # 20 Pharmacologic Management Of Pain Describe use, administration, dose, onset action, adverse effect, contraindication systemic drugs promote pain relief during labor d ... etermining nursing care management woman labor & her fetus Systemic analgesia  Goal provide maximum pain relief with minimal risk  Alteration in maternal state affects fetus  Determine: women shouldnt have to be in pain in labor  Goal:Best effect mom without affecting baby to much  Note: all things mom gets affects baby Administration of systemic analgesia  When woman is uncomfortable  Well-established labor pattern  Contractions occurring regularly  Significant duration of contractions  Moderate to strong intensity  Pain medication before established labor is more likely to prolong labor. Maternal assessments  The woman is willing to receive medication  Vital signs are stable  Contraindications are not present  Info on other medications being administered  Maternal stress & pain more adverse then small amount of analgesia.  Explain Pharmacologic effects of medications.  Obtain consent for medications. Fetal assessments  Fetal heart rate between 110 & 160 bpm  Reactive nonstress test  Short-term variability is present  Long-term variability is average  Good HR Assessment of labor progress  Contraction pattern  Cervical dilatation  Fetal presenting part  Station of the fetal presenting part Nursing considerations  Record drug name, dose, route, site on EFM strip & chart  Record woman blood pressure & pulse (before and after) on EFM strip & chart  Safety precautions  raising of side rails  assessment of FHR [Show More]

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