This is the first step treatment for PPH
What is fundal massage
Nurses makes sure this is intact once delivery is done
What is placenta
This is the most most common reason for PPH
What is uterine atony
This medication is used to stimulate the smooth muscle in the uterus to contract. This medication is also contraindicated for hypertension.
What is Methylergonovine.
"A nurse should immediately report these vital sign changes in a client with postpartum hemorrhage, as they may indicate hypovolemic shock."
What are tachycardia and hypotension?
These are the factors that cause PPH
What is Tone, Trauma, Tissues, Thrombin
A nurse is monitoring a client receiving a blood transfusion for postpartum hemorrhage. Which of the following findings should prompt the nurse to stop the transfusion and notify the provider?
A. Temperature of 100°F (37.8°C)
B. Blood pressure of 118/70 mmHg
C. Chills and back pain
D. Mild headache
C. Chills and back pain
Rationale: Chills, back pain, fever, and hypotension are signs of a transfusion reaction. The nurse should stop the transfusion immediately and notify the provider.
a nurse is caring for a client who is admitted to the postpartum floor. The vital signs for this client are BP of 90/60, HR of 118/min, RR of 20/min, and oxygen saturation of 93%. Which of the following should be the nurse's first action?
A. Administer anticoagulants
B. Decrease IV fluids
C. Administer an antibiotic
D. Assess the fundus and bleeding
D. Assess the fundus and bleeding
A nurse is reinforcing discharge teaching with a postpartum client about signs of late postpartum hemorrhage. Which of the following statements by the client indicates an understanding of the teaching?
A. “Bright red bleeding that lasts for more than 2 weeks is normal.”
B. “I should call my provider if I pass large clots after the first few days.”
C. “A decrease in lochia flow followed by a sudden increase is expected.”
D. “It is normal to feel dizzy and weak a few weeks after delivery.”
B. “I should call my provider if I pass large clots after the first few days.”
Rationale: Passing large clots or experiencing increased bleeding after an initial decrease may indicate late postpartum hemorrhage, often caused by retained placental fragments.