NUR 406 Postpartum complications
- Early hemorrhage
Answer Occurs in the first 24 hrs
- Causes of early hemorrhage
- Contributing factors to uterine atony
- Symptoms in the patient if she is hemorrhaging
Answer Uterine atony Lacerations of genital tract Retained placental fragments Hematomas
Answer Overdistention of uterus Dysfunctional labor Oxytocin use Anesthesia
Answer 1) Dizziness, heart flutters
2) Diaphoresis 3) Passing excessive clots & dark red blood
- What should you be doing if the patient is bleeding more than normal?
Answer
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Count & weigh pads
- What should be done for uterine atony?
Answer Massage fundus until firm
- Other interventions for uterine atony/PP hemorrhage
- Why is a catheter inserted?
Answer O2 Blood & fluids Catheter
Answer To prevent uterine distention, which can be a cause
- Medications in hemorrhage
- What will you see with lacerations of the genital tract?
Answer IV Oxytocin IM Methergine These cause uterine contractions
Answer Continuous trickling of bright red blood and firm fundus
- Why is it important to inspect the placenta for intactness after delivery?
Answer -
Retained placental fragments can cause hemorrhage
- What will be seen if the patient has a hematoma?
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Answer