NUR 406 Exam 19
- what can complications during pregnancy/delivery can interfere with?
Answer ma- ternal attachment & family coping
- who are PP complications are most common in?
- high risk pregnancy
Answer
- dysfunctional labor/required medical or surgical intervention
- inadequate PP lifestyle (rest, nutrition, social support & hygeine)
- what amount of blood loss is considered PP hemorrhage? vaginal delivery-
Answer > 500ml
- what amount of blood loss is considered PP hemorrhage? C-section
Answer > 1000ml
- when does early PP hemorrhage occur?
Answer first 24 hrs
- when does late PP hemorrhage occur?
Answer 24 hrs - 6 wks PP
- risk factors for PP hemorrhage
- uterine atony 1 / 3
Answer
- lacerations/episiotomy
- retained placental fragments
- vulvar/vaginal hematoma
- uterine inversion
- coagulation disorders
- what is the #1 cause of PP hemorrhage?
Answer uterine atony ("boggy" uterus)
-the uterus is soft & week --> doesn't contract like it should
- what causes uterine atony?
- grand multiparty
Answer
- full/distended bladder
- use of Pitocin during labor
- intra-amniotic infection
- uterine inversion
Answer placenta pulls the uterus out w/ it
- interventions for PP hemorrhage
Answer #1
fundal massage & call for assistance
- obtain PP hemorrhage cart
- empty bladder (catheter)
- quantify blood loss (weigh pads/chucks)
- oxytocin/Mg
- fluid bolus 2 / 3
-supplemental O2
- Jada, Bakari, Bi-manual compression
- emotional support
- fundal massage in PP hemorrhage
Answer massage uterus until firm --> express clots
- what is thrombophlebitis?
Answer when a blood clot causes a blockage in the vein
- how to prevent thrombophlebitis?
- early ambulation
Answer
- SCDs
- IV heparin prn
- S/S thrombophlebitis
- sluggish flow rate
Answer
- edema
- tender & cord-like veins
- warmth
- erythema at site
- extremities below blockage may be pale
- cervical lacerations
Answer occur if pushing prior to complete dilation
-repaired with suture
- nursing management for lacerations
- / 3