Postpartum Complications
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| show | hemorrhage
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| Postpartal hemorrhage is more than ____ ml of blood loss | show 🗑
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| Postpartal hemorrhage is clinically underestimated by ____% because it is difficult to assess due to blood mixing with amniotic fluid and absorbed by linens, ect. | show 🗑
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| Since postpartal hemorrhage is underestimated the best way to determine blood loss is to compare post delivery ____ levels to predelivery levles | show 🗑
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| show | BP drop and pulse increase
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| What is considered early and late hemorrhage | show 🗑
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| show | uterine atony
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| show | overdistnesion of the uterus, rapid or prolonged labor, oxytocin induction, grand multiparity, anesthesia, prolonged 3rd stage, infection, preeclampsia, operative birth, & retained placental fragments
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| How does overdistention of the uterus cause hemorrhage | show 🗑
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| Why does oxytocin induction increase the risk of hemorrhage | show 🗑
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| show | anesthesia causes vasodilation
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| show | after fundal massage and expression of clots plus emptying bladder, there is a slow, steady, free flow of blood (1ml = 1gm)
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| show | postpartal hemorrhage
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| What are the sources of bleeding during postpartal hemorrhage | show 🗑
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| show | Nulliparity (never given brith b4), precipitous labor, prolonged second stage, operative birth, and macrosomia (LGA)
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| show | after the pt has left the hospital
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| How is a hematoma assessed after birth | show 🗑
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| postpartal hemorrhage signs include: | show 🗑
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| ____ infection or postpartum infection is an infection of the reproductive tract that occures up to ____ weeks postpartum | show 🗑
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| show | the first 24 hours
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| ____ is an infection or inflammation of the uterine lining | show 🗑
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| show | C-section, PPROM (many hrs of ruptured membrane), prolonged labor then C-section, compromised health status, internal EFM, birth trauma, chorioamnionitis (infection of membranes during labor), DM, operative birth, manual placental removel, VB or chlamydia
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| What is an early cause and late cause of metritis (infection or inflammation of the uterine lining) | show 🗑
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| show | bloody FOUL smelling locia, uterine tenderness, TEMP spikes more than 2 occasions, increased pulse, chills, increase WBC of 30% in 6hr period
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| show | antibiotics until afrebrile for 48 hrs, prophlactic antibiotics with C-section
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| overdistention can cause UTI's, why would the bladder overdistend | show 🗑
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| ____ is an infection of the breast connective tissue (ONE SIDED) due to bacterial invasion following trauma to nipple | show 🗑
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| What causes mastitis | show 🗑
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| what are the s/s of mastitis | show 🗑
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| What is the treatment of mastitis | show 🗑
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| It is important to access the ____ when doing maternal assessment | show 🗑
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| Let pt know if breast hurts they must continue breastfeeding (empty both breasts) and ____ | show 🗑
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| show | Venous thrombosis - usually in ghe legs
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| Venous thrombosis can cause ____ embolism due to venous stasis | show 🗑
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| causes of thrombopheblitis | show 🗑
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| s/s of thrombophelitis | show 🗑
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| show | venography or doppler ultrasonography
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| show | IV heparin, bed rest, elevation of leg, analesics, and possible antibotics
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| prevention of thrombophelitis | show 🗑
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| T/F postpartum blues is normal | show 🗑
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| postpartum blues occures in ____% - ____% , postpartum depression occures ___% - ____% and postpartum psychosis occures ____% - ____% | show 🗑
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| s/s of postpartum blues | show 🗑
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| show | reassurance, and have them ask for assistance with self and infant care
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| s/s of postpartum depression not seen in postpartum blues | show 🗑
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| What are the s/s seen in postpartum psychosis not seen in postpartum depression | show 🗑
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| show | referral to mental helath professional, if antidepressants are prescribed, caution with breastfeeding
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| show | primiparity, pregnancy ambivalence, hx of depression, lack of social support/ partner/family, and poor body image
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| ____ can occure after delivery due to a lot of interventions, stressful due to fetal distress, forcepts or vacuum use, trauma, lacerations. | show 🗑
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| show | Ms. Vargus, I know this is uncomfortable for you, but it is important that I massage your uterus, so that it becomes firm so your bleeding will stop."
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| show | Ms. Vargus is at risk for postpartum hemorrhage related to possible uterine atony.
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| Debra Vargus delivered a 9-lbs, 3-oz baby girl. Her labor was 22hrs long & augmented w/ oxytocin. initial post assessment reveals a firm fundus at level of umbilicus. Lochia is heavy w/ several sm quarter-sized clots. Contributing risk factors? | show 🗑
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| What are the nursing implications when caring for Ms. Vargus in the immediate postpartum period? Ms vargus is at risk for atony. | show 🗑
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| What would the priority nursing diagnosis for Ms. Vargus be? Ms vargus is at risk for atony | show 🗑
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| A nurse is caring for a postpartum client with a diagnosis of superficial thrombophlebitis. What is the most appropriate treatment? | show 🗑
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| show | client C with a blood pressure of 156/92
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| show | Report to the physician or nurse-midwife
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| A nurse has assessed a 4-cm vaginal hematoma on a 6-hour postpartum client. What would be the most appropriate nursing action? | show 🗑
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| A 4-week postpartum client is diagnosed with subinvolution. What medication would the nurse anticipate the physician or nurse-midwife to order? | show 🗑
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| show | client B, who had an oxytocin induction
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| show | The catheter is clamped after removing 900 mL to protect the bladder and prevent rapid intra-abdominal decompression.
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| A nurse is caring for a 48-hour postpartum client who complains of urinary frequency and dysuria. Her temperature is 100.2DEGREE SIGN F, blood pressure 108/72, pulse 72, and respirations 18. What is the most appropriate nursing intervention? | show 🗑
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Created by:
cgwayland
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