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OB-Chapters 9 & 10-Pain Mgmt & Nursing Care During Labor

AB
Analgesiathe use of medication to reduce the sensation of pain
Anesthesiathe use of medication to partially or totally block all sensation to an area of the body
DoulaGreek for servant birth assistants
Effleuragea form of touch that involves light circular fingertip movements on the abdomen
Intrathecalinjection into the cerebrospinal fluid by lumbar puncture
Opioidsmedications with opium like properties
Accelerationsspontaneous elevations of the fetal heart rate
Amnioinfusioninfusion of sterile fluid into the uterine cavity during labor
Early decelerationthe dip in the fetal heart rate tracing that occurs in conjunction with and mirrors a uterine contraction
Late decelerationsbegin late in the contraction and recover after the contraction has ended
Lochiauterine discharge composed of blood mucus tissue and white blood cells during the postpartum period
Open glottis pushingmethod of expelling the fetus that is characterized by pushing with contractions using an open glottis so that air is released during the pushing effort
Periodic changesvariations in the fetal heart rate pattern that occur in conjunction with uterine contractions
Urge to push methodmethod of expelling the fetus in which the woman bears down only when she feels the urge to do so using any technique that feels right for her
Uteroplacental insufficiencydiminished or deficient blood flow to the uterus and placenta
Variabilityfluctuations in fetal heart rate
Variable decelerationa change in FHR that may occur at any point during a contractions and has a jagged erratic shape on the EFM tracing
Vigorous pushingmethod of expelling the fetus in which the woman is told to take a deep breath hold the breath and push while counting to 10


School of Practical Nursing
James Rumsey Technical Institute
Martinsburg, WV

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