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Crucigrama Sopa de Letras Hoja de Trabajo
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Medications and Pain Management

Horizontales
Water therapy, tub or shower
Effect - Drug causes maternal hypotension reducing blood flow to the placenta resulting in non-reassuring tracing
Psychosocial Variables that influence woman's experience of _____ including culture, anxiety, fear, support, previous experiences
Prolonged premature rupture of membranes, ruptured over 24hrs
Opening of the cervix
Elevated serum magnesium level, diminished RR, absent reflexes, decreased urine output, decreased level of consciousness
Of epidural blocks include: maternal hypotension, bladder distention, prolonged 2nd stage of labor, migration of epidural catheter, fever
Artificial rupture of membranes
Results of hyperventilation due to rapid deep breathing that causes excessive loss of carbon dioxide
Pain management involving therapeutic drugs
Mechanical cervical dilation tool
Systemic agent that relieves pain without causing loss of consciousness
Thinning of the cervix
Pain management during labor including, providing comfort, reducing anxiety, promoting relaxation, breathing techniques, walking, position changes
Spontaneous rupture of membranes
Side effects include nausea/vomiting, pruritus (itching), respiratory depression
Verticales
NOTIFY ANESTHESIA - When analgesics are used and cause a _______ in cardiovascular, respiratory, gastrointestinal or nervous systems
Common side effect of many pain medications, Correct with increasing fluids, repositioning pt, and notify MD or anesthesia if epidural / spinal placed
Synthetic oxytocin, used to augment labor, increase contraction intensity and frequency
Warm water therapy or warm blankets, heating pad
Cervical ripening agent, dissolves, can be taken orally or placed vaginally, used rectally for PPH
Nitrous _____ -Laughing gas, inhalant, reducing pain perception, can cause dizziness, nausea, dysphoria
Used to relax uterus to help stop preterm labor, used with severely elevated BP to prevent seizures
Deep inspiration and expiration before and after contraction
Of Epidural placement includes refusal, coagulation defects, uncorrected hypovolemia, infection at site, allergy, fetal condition demanding faster delivery, complicated spinal surgery or severe scoliosis
Promotes uterine blood flow thus improving fetal oxygenation
Effect - Decreased fetal variability after administration of medication
Cervical ripening agent, flat tampon looking, can be removed if uterine hyperstimulation or fetal stress occurs
Premature rupture of membranes