Hypertension
High-Risk Labor & Delivery
HR Postpartum
Procedures
Potpourri
100

A patient is on magnesium sulfate. Their DTRs are 2+, then an hour later 4+. This could be caused by a  worsening of this hypertensive disorder.

What is preeclampsia?

100

This medication is used to stop contractions, for example in cases of preterm labor or uterine tachysystole with non-reassuring fetal heart tones.

What is terbutaline?

100

This is the most common cause of postpartum hemorrhage.

What is uterine atony?

100

This device may be affixed to a baby's head to assist with delivery in cases when shortening the second stage of labor is indicated.

What is a vacuum (vacuum extractor)?

100

This phenomenon, in which pregnant people crave non-food substances like dirt, clay, ice, or starch, is associated with anemia.

What is pica?

200

This clinical finding is represented by the "LP" in HELLP syndrome.

What is low platelets? (thrombocytopenia)

200

This medication is used to increase the strength and frequency of uterine contractions during induction or augmentation of labor.

What is pitocin?

200

The "4 T's," this mnemonic can help nurses remember the most common potential causes of postpartum hemorrhage.

What are Tone (atony), Trauma (lacerations, episiotomy, hematoma), Tissue (retained placenta) and Thrombin (coagulopathy)

200

This acronym can help nurses and providers remember the steps to take in cases of shoulder dystocia.

What is HELPERR?

Call for Help

Evaluate for Episiotomy

Legs (McRobert's maneuver)

Enter (for rotational maneuvers)

Remove the posterior arm

Roll patient to hands and knees

200

This vaccine is recommended in every pregnancy to help prevent neonatal pertussis (whooping caugh).

What is Tdap?

300

This disorder is characterized by hypertension first diagnosed in pregnancy (after 20 weeks) without proteinuria or other symptoms of preeclampsia.

What is gestational hypertension?

300

Shoulder dystocia might be preceeded by this sign.

What is the turtle sign?

300

This procedure may be performed by a provider during a postpartum hemorrhage caused by uterine atony that is not responding to medications.

What is bimanual compression?

300

This is the most common type of cesarean incision. People with this type of uterine incision may consider a TOLAC (trial of labor after cesarean).

What is a low transverse incision?
300

The nurse assesses this to determine which spinal nerves the epidural infusion is affecting.

What is the dermatome level?

400

Severe headache, seeing spots (scotoma), and swelling of the hands and face are classic symptoms of this disorder.

What is preeclampsia?

400

This medication is given to pregnant people in preterm labor to promote fetal lung maturity.

What is betamethasone?

400

This postpartum complication may present with unilateral leg pain, erythema, and swelling

What is deep vein thrombosis (DVT)?

400

Induction of labor is often begun with the medications misoprostol (Cytotec) or dinoprostone (Cervidil), which aid in this process.

What is cervical ripening?

400

This labor analgesic is delivered via face mask in a 50/50 mix with oxygen.

What is nitrous oxide?

500

Preeclampsia with severe features is treated with this medication (among others), whose purpose is to prevent seizures.

What is magnesium sulfate?

500

This labor complication is defined as more than 5 contractions in 10 minutes.

What is uterine tachysystole?

500

This postpartum complication is an infection of the uterine tissues.

What is endometritis?

500

Post-cesarean care includes this nursing intervention that helps prevent DVT and ameliorate gas pain, among other benefits.

What is early ambulation?

500

This complication may be characterized by maternal fever (>100.4), maternal tachycardia, fetal tachycardia, uterine tenderness, and/or foul-smelling amniotic fluid.

What is chorioamnionitis, or intra-amniotic infection (IAI)?

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