Hypertensive Disorders of Pregnancy
Hypertension diagnosed after 20 weeks gestation without proteinuria or severe features
What is Gestational Hypertension?
This is often the first abnormal vital sign in a birthing person developing Maternal Sepsis
What is temperature?
Tone, Tissue, Trauma, and Thrombin
What are the 4 Ts of Postpartum Hemorrhage?
This is the most common cause of Postpartum Hemorrhage
What is uterine atony?
This is the number one cause of maternal morbidity in Maryland
What is Obstetric Hemorrhage?
Systolic BP must be this or higher for a diagnosis of Gestational Hypertension
What is 140 mmHg?
Cesarean delivery, prolonged rupture of membranes, and retained products of conception are all examples of these
What are the risk factors for Maternal Sepsis?
Medication administered for the treatment of Postpartum Hemorrhage that is not a uterotonic
What is tranexamic acid (TXA)?
This is the first action a nurse should take when the fundus is boggy
What is massage the fundus?
Pain or tenderness in the leg or groin, increased superficial temperature, edema or ankle engorgement, and/or white mottled appearance of the skin
What are the signs/symptoms of Deep Vein Thrombosis (DVT)?
Proteinuria in Preeclampsia is confirmed with a 24-hour urine collection showing this amount or more
What is 300 mg?
In Sepsis management, this is the minimum target value for mean arterial pressure (MAP) to ensure adequate organ perfusion
What is 65 mmHg?
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 is the phase of maternal adjustment when the mother focuses on her own recovery
What is the taking-in phase?
Fluid resuscitation, administration of blood products, and providing oxygen per medical provider orders
What are the interventions for the treatment of Hypovolemic Shock?
This fetal complication is associated with reduced placental perfusion in hypertensive disorders
What is intrauterine growth restriction (IUGR)?
These two interventions should be initiated within one hour of recognizing Maternal Sepsis
What are the administration of broad-spectrum antibiotics and IV fluid infusion?
Greater than 4 vaginal births, history of previous Postpartum Hemorrhage, polyhydramnios, and prolonged labor/induction
What are risk factors for Postpartum Hemorrhage?
This assessment tool is commonly used to screen for postpartum depression.
What is the Edinburgh Postnatal Depression Scale (EPDS)?
Pathological form of clotting causing widespread external and internal bleeding, or both
What is Disseminated Intravascular Coagulation (DIC)?
Two severe features of Preeclampsia not including elevated BP and proteinuria
What are elevated liver enzymes, low platelets, renal insufficiency, pulmonary edema, or cerebral/visual symptoms? (any two)
This aggressive bacterial infection, often presenting during the postpartum period, is a leading cause of Maternal Sepsis and can rapidly progress to toxic shock and death if not treated promptly
What is Group A Streptococcus?
When the placenta attaches into the uterine muscle
What is Placenta Increta?
This is the hormone primarily responsible for milk production
What is prolactin?
Vessel wall damage, venous stasis, and altered coagulation
What is Virchow's Triad?