PP Emergencies
This is the most common cause of postpartum hemorrhage.
What is uterine atony?
A postpartum patient has foul-smelling lochia, uterine tenderness, and fever.
What is endometritis?
This substance is deficient in premature infants and leads to Respiratory Distress Syndrome.
What is surfactant?
The greatest immediate concern for infants of diabetic mothers is this complication.
Hypoglycemia
Neonatal Abstinence Syndrome is caused by this prenatal exposure.
Maternal opioid or substance use.
The four causes of postpartum hemorrhage are remembered using this mnemonic.
What are the 4 T's?
(Tone, Tissue, Trauma, Thrombin)
This postpartum infection usually presents with unilateral breast pain, redness, fever, and flu-like symptoms.
What is mastitis?
This respiratory disorder usually resolves within 24–72 hours and is caused by delayed absorption of fetal lung fluid.
What is Transient Tachypnea of the Newborn (TTN)?
These newborns weigh below the 10th percentile for gestational age.
Small for Gestational Age (SGA)
This scoring system is commonly used to evaluate withdrawal symptoms in newborns.
Finnegan Neonatal Abstinence Score
A postpartum patient has heavy bleeding and a boggy uterus. What is the nurse's FIRST action?
Massage the fundus.
The nurse suspects this complication when the patient has severe perineal pain despite a firm uterus and minimal bleeding.
What is a hematoma?
What is the priority nursing intervention for a premature infant?
Maintain oxygenation and thermoregulation.
A large-for-gestational-age infant is especially at risk for this birth complication.
Shoulder dystocia (birth trauma)
This congenital disorder presents with excessive drooling, choking, coughing, and inability to pass an NG tube.
Esophageal atresia with tracheoesophageal fistula
Which uterotonic medication is contraindicated in a patient with asthma?
Hemabate (Carboprost)
Hallucinations and delusions occurring after birth indicate this psychiatric emergency.
What is postpartum psychosis?
This gastrointestinal emergency presents with abdominal distention, bloody stools, and feeding intolerance.
What is Necrotizing Enterocolitis (NEC)?
This treatment is the first-line therapy for significant neonatal hyperbilirubinemia.
Phototherapy
Early-onset neonatal sepsis commonly presents with this vague symptom.
Temperature instability
The nurse notices bleeding from the IV site, gums, and urinary catheter. Which emergency condition should be suspected?
Disseminated Intravascular Coagulation (DIC)
A patient develops unilateral leg pain, warmth, redness, and swelling. What condition should the nurse suspect?
Deep Vein Thrombosis (DVT)
To reduce the risk of Retinopathy of Prematurity, nurses should carefully monitor this therapy.
Oxygen therapy
Early signs of neonatal hypoglycemia include jitteriness, poor feeding, lethargy, and this neurologic symptom.
Seizures
An infant with gastroschisis differs from an omphalocele because the bowel is __________.
Outside the abdomen without a protective sac.