Hemorrhagic Disorders
This type of miscarriage presents with a closed cervix and vaginal bleeding.
Threatened.
Blood pressure greater than 140/90 after 20 weeks gestation.
Gestational Hypertension.
The antidote for magnesium sulfate toxicity
Calcium gluconate
Primary cause of postpartum hemorrhage.
uterine atony
Persistent nausea and vomiting without abdominal pain during pregnancy.
Hyperemesis gravidarum
This pregnancy complication presents with painless bright red vaginal bleeding and contraindicates vaginal exam.
Placenta previa.
This medication is given to prevent seizures in preeclampsia.
magnesium sulfate
These medications reduce postpartum hemorrhage by promoting uterine contraction.
Oxytocin (Pitocin), methylergonovine (Methergine), misoprostol (Cytotec), carboprost (Hemabate).
Blood loss greater than ______ mL after vaginal birth defines PPH.
500 mL
Suprapubic tenderness and fever postpartum indicate this infection
endometritis
This condition presents with painful vaginal bleeding, abdominal pain, board like abdomen, and possible fetal distress.
Placental Abruption
Loss of deep tendon reflexes and respirations of 10/min in a client on magnesium sulfate indicate this complication.
magnesium toxicity
These medications are used to stop or slow preterm uterine contractions
Terbutaline, nifedipine, magnesium sulfate.
The Four T’s of postpartum hemorrhage
tone, trauma, tissue, and thrombin
Fever, hypotension, tachycardia, and altered mental status postpartum
sepsis.
An ultrasound shows a “snowstorm” appearance and hCG levels >100,000
Molar pregnancy?
Right upper quadrant pain, AST/ALT elevated, platelets low in third trimester.
HELLP syndrome?
Magnesium sulfate requires monitoring of these four priority assessments.
deep tendon reflexes, respiratory rate, heart rate, and urine output
A saturated pad in less than one hour indicates this complication
What is postpartum hemorrhage
First nursing priority for suspected PPH with hypotension
assess fundus and initiate emergency response
A pregnant client at 10 weeks gestation reports vaginal bleeding. Ultrasound shows an empty uterus, and hCG levels are steadily decreasing.
Complete spontaneous abortion
Blood pressure 162/112 with headache and visual changes
preeclampsia with severe features
This antihypertensive is first-line for chronic and gestational hypertension in pregnancy.
Labetalol.
Shock index greater than 1.3 indicates need for this level of care
ICU admission
A blood pressure of 82/40 and heart rate of 122 postpartum suggests this complication
What is postpartum shock