Basic Infomation
Greater then 50% of adverse events in maternity care are linked to...
What is communication and teamwork failures
A finding that is concerning in a postpartum patient with a history of chorioamnionitis
What is foul smelling lochia and uterine tenderness
The 1st immediate nursing action for a visible or suspected umbilical cord prolapse to relieve pressure...
What is manually elevating the fetal presenting part
What finding would be expected in a patient that received rectal cytotec for postpartum hemorrhage
What is an elevated temperature
Sudden, painful, dark red vaginal bleeding accompanied by a rigid, board-like abdomen typically indicates this medical emergency
What is placental abruption
You are OBED for the day. When should your patients vital signs be obtained?
What is Q30min X2 then Q1hr unless there for HTN. If there for HTN Q15min
This primary medication class is the first line to aggressively manage uterine atony during a postpartum hemorrhage and given an example of medication in this class of meds
What is uterotonics such as Oxytocin
The sign where the fetal head delivers but then tightly retracts against the perineum is called what and what does it possibly indicate?
What is the turtle sign and shoulder dystocia
Your patient received an epidural and became hypotensive after anesthesia left bedside. You have administered 2ml of ephedrine and IVF are infusing. Your patient remains hypotensive. What should you do at this point?
What is reposition pt to left lateral and call anesthesia back to bedside
Painless bright red vaginal bleeding in the 3rd trimester often indicates this specific abnormal placental implantation site
What is placenta previa
Your patient is on 10mu of pitocin for induction of labor. Her contractions are Q1.5-2min apart. What would be your nursing action
What is half the pitocin, inform MD and document
Per standard guidelines, this specific QBL threshold defines a postpartum hemorrhage for both vaginal and cesarean deliveries
What is QBL greater then 1,000ml
What is the most common cause of placental abruption
What is hypertension
What is the primary toxic complication of Magnesium Sulfate that is assessed with each magnesium assessment?
What is respiratory and central nervous system depression
What FHR pattern is most likely to be seen if the pt has oligohydramnios?
What is variable decelerations
You are primary nurse for a patient admitted on the floor. You are uncomfortable with her FHR tracing. You call the patients doctor who does not answer and does not return your call. What are your next actions?
What is initiate chain of command.
What are the 4 T's in postpartum hemorrhage
What is Tone, Tissue, Trauma, Thrombin
Excessive fluid administration as part of an intrauterine resuscitation strategy can lead to what serious maternal consequence
What is pulmonary edema
Your patient is on magnesium sulfate for pre-eclampsia. She delivered and MD has left bedside. Pt is having heavy lochia d/t poor tone despite fundal massage and pitocin infusing. You all the MD who gives you an order to administer methergine. Is this an appropriate order?
What is ... No, the pt has hypertension and methergine is contraindicated with HTN.
What complication occurs when amniotic fluid enters maternal circulation causing respiratory distress and circulatory collapse
What is amniotic fluid embolism
What is the most common soft tissue obstruction during labor
What is a full bladder
What are the 3 complications is a postpartum pt most at risk for?
What is PPH, shock and infection
Your patient goes into cardiac arrest, and you call a Code Blue overhead...How long do you have to either resuscitate your patient or delivery that baby
What is 5min
Your doctor gives verbal order to administer TXA during recovery. What is necessary for this medication to be administered during the 1st hour of recovery?
What is a 2nd IV access
What is the number one way to know if your patient's abdomen is board-like and rigid
What is soft manual palpation the patient's abdomen AND charting your palpation