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NRN 102 (CH21,22,23)

CCAC NRN 102 Fourth Trimester

QuestionAnswer
What is a major intervention to restore good tone of the uterus Gently massaging the uterine fundus until firm
What is the leading cause of maternal morbidity and mortality in the US and worldwide? Postpartum Hemorrhage
Marked hypotonia of the uterus Uterine atony
What are the causes of Uterine atony? Overdistended uterus (large fetus, multiple fetuses, hydramnios, clots), anesthesia and analgesia, previous history of atony, high parity, prolonged labor, trauma, induced labor
Where can lacerations occur during birth? cervix, vagina, perineum
When should lacerations be considered? When bleeding continues despite a firm, contracted uterine fundus
Which type of lacerations is most common? Perineal
What is subinvolution of the uterus? Delayed return of the enlarged uterus to normal size and function
Infection of the lining of the uterus Endometritis
Protrusion of the bladder downward into the vagina Cystocele
Herniation of the anterior rectal wall through the relaxed or ruptured vaginal wall Rectocele
Perforations between genital tract organs Fistulas
Created by: JayneAnn
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