NUR 4445 OB Exam 3
- What is the 3rd stage of labor?
Answer delivery of placenta
- What indicates that the placenta has separated?
Answer -ctx of uterus/abd. rises
-gush of blood -lengthening of cord -vaginal fullness/urge to push per mom
- What medications may be delivered after the delivery of the placenta?
Answer -
-Pitocin -Methergine -Hemabate (oxytocics) -Cytotec
- How often are maternal assessments during 4th stage?
Answer VS
q 15 x 1 hour, q 30 x 1 hour (temp hourly) Fundus Same Perineum
Same Lacerations 1 / 3
offer ice (ice x 24 hours) Pericare!
REEDA Lochia Pain
Breastfeeding I & O Hourly
- Nursing priorities for 4th stage labor?
Answer -ensure patient is not bleeding exces- sively
-fundus remains firm -VSS -help with bonding/breastfeeding
- What would you do if you find the fundus to be higher in the abdomen and displaced to the
right?
Answer Have the patient empty their bladder
- 3rd and 4th stage labor complications include
Answer -perineal lacerations
-placenta and umbilical issues -early postpart hemorrhages
- Perineal Lacerations
Answer First Degree limited to fourchette, perineal skin, and vaginal mucous membrane
- Perineal Lacerations
Answer Second Degree 2 / 3
Involves the vaginal mucosa, perineal skin, underlying fascia, muscles of perineal body and may extend upwards/both sides of vagina
- Perineal Laceration
Answer Third Degree
extends through perineal skin, mucous, perineal body, and involves anal sphincter
- Perineal Laceration
Answer Fourth Degree
same as third, extends through rectal mucosa to the lumen of rectum
- Placenta issues
Answer -placenta accrete
-placenta increta -placenta percreta
- Placenta accrete
Answer chorionic villi attached to uterine myometrium
- Placenta increta
Answer myometrium invaded
- Placenta percreta
- / 3
Answer