Intrapartum Complications
Postpartum Adaptations
Postpartum Complications
Postpartum Hemorrhage
Anything Goes
100
What is prolapsed umbilical cord?
100
After delivery, the uterus descends about this many centimeters per day.
What is 1 cm per day?
100
This breast complication causes pain, redness, fever, and requires antibiotics in addition to continued breastfeeding or pumping
What is mastitis?
100
Postpartum hemorrhage is defined as blood loss greater than this amount following a vaginal delivery.
What is 500 mL?
100
This hormone stimulates milk ejection (let-down reflex) and also promotes uterine contractions after birth.
What is oxytocin?
200
The first nursing intervention when a prolapsed cord is suspected.
What is relieve pressure on the cord?
200
This type of lochia is pink or brownish and typically lasts from days 4–10 postpartum.
What is lochia serosa?
200
This mood disorder, occurring within the first year postpartum, goes beyond the “baby blues” and may affect bonding and infant care.
What is postpartum depression?
200
The most common cause of postpartum hemorrhage.
What is uterine atony?
200
This is what is given to the mom to help promote fetal lung maturity in a preterm baby
What are steroids?
300
The primary maternal risk associated with premature rupture of membranes.
What is infection (chorioamnionitis)?
300
These are 2 normal maternal adaptations during the first 24–48 hours postpartum, helping to reduce the excess plasma volume from pregnancy
What are diuresis and diaphoresis?
300
This is manifested as a temperature of 38 C (100.4 F) or higher after the first 24 hours and occurring on at least 2 of the first 10 days following childbirth.
What is a post-partum infection?
300
This is the first nursing action when excessive postpartum bleeding is suspected.
What is massage the fundus?
300
The nurse can place the client with a prolapsed cord in this position to reduce cord compression.
What is knee-chest or Trendelenburg position?
400
Often associated with cephalopelvic disproportion or macrosomia
What is shoulder dystocia?
400
During the first few days postpartum, many women experience mood swings, crying, and irritability known as this.
What is postpartum blues (AKA baby blues)?
400
This mood disorder includes hallucinations, delusions, and disorganized behavior, requiring immediate interventions to ensure infant and maternal safety.
What is postpartum psychosis?
400
This med is the first one given if massaging the fundus does not help stop the PPH
What is oxytocin?
400
This life-threatening condition can result when a blood clot formed in the deep veins travels to the lungs after childbirth.
What is a pulmonary embolism?
500
The patient in labor is exhibiting dyspnea and cyanosis. This is the most likely cause
What is amniotic fluid embolism (anaphylactoid syndrome)?
500
This is the R in REEDA
What is redness?
500
A postpartum patient with a boggy uterus that is not midline needs to be checked for this condition initially
What is a distended bladder?
500
This medication, given to help stop PPH, is contraindicated in clients with hypertension.
What is methylergonovine (Methergine)?
500
A firm uterus with continued vaginal bleeding suggests this cause of hemorrhage
What are perineal or vaginal lacerations?