Hypertensive Disorders of Pregnancy
Systolic >/= 160 mmHG or Diastolic >/= 110 mmHG or BOTH
What is severe blood pressure?
Tone, Tissue, Trauma, Thrombin
What are the 4 T's of Postpartum Hemorrhage?
This condition in breastfeeding mothers is characterized by swollen, hard, and painful breasts, often accompanied by warmth and tight skin due to an overabundance of milk
What is breast engorgement?
This process describes the return of the uterus to its pre-pregnancy size and shape after childbirth, typically occurring within six weeks postpartum and is described by consistency and location and measured by fingerbreadths in relation to the umbilicus
What is uterine involution?
Obstetric Hemorrhage
What is the number one cause of severe maternal morbidity in Maryland?
Headache, vision disturbances, and epigastric pain
What are signs and symptoms of preeclampsia with severe features?
Medication administered for treatment of Postpartum Hemorrhage that is not a uterotonic
What is TXA?
This nutrient-rich substance produced in the first few days after delivery, contains antibodies, proteins, fats, vitamins, and minerals
What is colostrum?
The acronym REEDA, used for perineal assessment after delivery, describes the following perineal characteristics
What are Redness, Edema, Ecchymosis, Drainage, Approximation?
Pain or tenderness in leg or groin, increased superficial temperature, edema or ankle engorgement, and/or white mottled appearance of skin
What are signs/symptoms of Deep Vein Thrombosis (DVT)?
First pregnancy, Obesity, African American/Black, age >35 years, and multiples pregnancy.
What are risk factors associated with Hypertensive Disorders of Pregnancy?
Estimate of blood loss by various methods which may involve formal training with visual estimation, gravimetric techniques, and/or colorimetric methods
What is Quantitative Blood Loss (QBL)?
This practice helps to promote bonding, regulate the baby's temperature, and initiate breastfeeding
What is skin-to-skin contact?
The progression of the color of lochia from day 1 to day 28 after delivery
What is rubra, serosa, alba?
Provide adequate oxygenation and tissue perfusion, follow medical provider orders for fluid and blood volume resuscitation and antibiotic therapy
What are nursing interventions for the treatment of septic shock?
Labetalol, Hydralazine, and Procardia
What are medications used to treat persistent severe range blood pressure readings?
Greater than 4 vaginal births, history of previous Postpartum Hemorrhage, polyhydramnios, and prolonged labor/induction
What are risk factors for Postpartum Hemorrhage?
It is the size of a cherry on day one and the size of a walnut on day three
What is a newborn stomach?
This common and temporary emotional condition affects many new mothers within the first two weeks after childbirth, characterized by mood swings, crying spells, and feelings of sadness, often resolving without treatment
What is Baby Blues?
Fever or hypothermia PLUS tachycardia, hypotension, respiratory distress, jaundice, oliguria, or altered mental state.
What are signs of maternal sepsis?
HELLP
What is Hemolysis, Elevated Liver Enzymes, and Low Platelets?
Placenta attaches into the uterine muscle
What is placenta increta?
Treatment for this condition includes application of lanolin cream, ensuring a proper latch, and allowing the nipples to air dry after breastfeeding
What is nipple care or treatment for sore/cracked nipples?
This rare but severe mental health condition can occur within the first few weeks after childbirth and is characterized by delusions, hallucinations, and severe mood swings, often requiring immediate medical intervention
What is postpartum psychosis?
Pathologic form of clotting causing widespread external and internal bleeding, or both.
What is DIC?