Postpartum Complications
PPH is defined by exceeding ___mL of blood loss during vaginal birth and ___mL during c section.
500,750
What medication is given to treat postpartum blues?
No medication is usually needed.
A newborn with a pulse of 128, pink body with blue extremities, prompt response to stimulation, a good cry, and with some flexion would receive an APGAR score of:
8
What are some things that can be done to help relive fatigue?
Arrange frequent rest periods throughout the day, obtain regular exercise and use proper posture
What stage may last up to 3 hours?
Second Stage
How would one measure fluids for a patient who has an excess amount of output or blood after delivery?
Weigh the pads/chux
Drug used to prevent DVT from developing?
Heparin
When creating ID bands for the newborn, mother, and support person what should be put onto the ID bands?
ID number, Mom's name, the gender of newborn, date, and time of birth.
Varicose veins can be common in the second and third trimesters. What can be done to help with this?
elevating the feet, avoid sitting or standing for long periods, and wearing supportive stockings
What stage is characterized as the time of maternal physiologic adjustment?
fourth stage
Patient is experiencing tenderness, warmth, redness, and hardness in extremities, possibly indicating ___?
Thrombophlebitis
What is the first choice drug used for PPH?
Why does the nurse administer phytonadione (vitamin k) to the newborn?
Newborns are at a risk for vitamin k deficiency because their GI tracts haven't started to produce vitamin k and which helps with the production of clotting factors. Vitamin k deficiency can lead to a hemorrhage.
What is the average expected weight gain during pregnancy?
25 to 35 lbs
What stage consists of three phases and ranges from 0 to 10 cm dilation?
first stage
The most common cause due to uterine atony shows __?
early signs of PPH
What drug is given during 2nd stage PPH?
Misoprostol
How often should the nurse assess the newborn's temperature?
Every 30 minutes for the first 2 hours, then every 8 hours until discharge.
An Amniocentesis test is performed for what reason?
to determine genetic disorders, metabolic defects, and fetal lung maturity.
At what stage of labor does placental separation and placental expulsion occur?
third stage
Sadness, crying, insomnia, appetite change, low self esteem, obsessive thoughts of inadequacy, irritability w/ minimum provocation are signs of___?
PP depression
What drug is used to treat chorioamnionitis in one dose?
Gentamicin
What nursing interventions can help the newborn maintain temperature?
Skin-to-skin contact with mom, avoid placing the baby near drafts/ vents, wrap the newborn in warmed blankets, avoid placing the baby on cold surfaces, warm up hands and stethoscopes when assessing baby, place baby in a temperature-controlled radiant warmer.
Not eating enough fiber, not getting up and moving around, and not drinking enough water can result in what?
constipation
What stage of labor are the latent phase, active phase, and transition stage part of?
First stage