PPH Medications
Oxytocin uses
What is the medication for induction, immediately after the fetus is delivered, and the first line drug for postpartum hemorrhage and it's dosage?
Most common cause of postpartum hemorrhage.
What is atony?
PROM
What is the premature rupture of membranes?
Definition of preterm labor
What is labor occurring between 20 and 36.9 weeks?
Essential elements in the presence of a patient with PPH.
What are early recognition, response, and team work?
Methergine IM
What is a second-line medication given for postpartum hemorrhage and what is the route?
Retained placenta
What is an example of tissue cause of postpartum hemorrhage?
PPROM, define
What is the preterm premature rupture of membranes? What is ruptured membranes before onset of labor and before 37 weeks?
Three hormones responsible for labor
What are progesterone, estrogen, and prostaglandins?
Important to know when assessing pregnant patients admitted for labor in regards to PPH.
What are risk factors?
Contraindication for Methergine
What is hypertension?
Four T's: causes of postpartum hemorrhage and example(s)
What are Tone (uterine atony), Tissue (retained placenta), Trauma (cervical laceration, hematoma, other lacerations), and Thrombin (or coagulopathies such as is Factor V, thrombocytopenia)?
PROM interventions, name at least three.
What are limit vaginal exams, bedrest with bathroom privileges, monitor VS (temperature), CBC (WBC's), fetal status (EFM), prophylactic antibiotics, betamethasone, and possibly magnesium sulfate depending on gestational age?
PTL risk factors: name at least five
What are infection, PPROM, incompetent cervix, STI's, smoking, substance abuse, domestic violence, multiple gestation, polyhydramnios, maternal dehydration, maternal age, history of previous PTL or PTB, stress, maternal illness, fetal abnormalities, and race?
Important vital sign prior to administering terbutaline and rationale.
What is checking the patient's pulse because if the patient is tachycardic and you administer terbutaline then the patient is at risk for heart failure and cardiac arrest?
Chemotherapy agent used to treat ectopic pregnancy or gestational trophoblastic disease (such as hydatidiform mole or molar pregnancy)
What is methotrexate?
Postpartum hemorrhage risk factors: name at least 3
What are LGA infants, multiple gestation, polyhydramnios, grand multiparity, precipitous or prolonged labor, cesarean birth, prolonged induction, magnesium sulfate, and prematurity?
Umbilical cord prolapse can be managed conservatively true or false
What is false?
Test that is potentially predictive of birth within two weeks.
What is Fetal fibronectin (fFn)?
PTL intervention patient goals (at least 3)
What is maintain pregnancy, decrease risk of preterm delivery, identify S&S of PTL, self-care measures, discuss causes, identification PTL?
Hemabate (carboprost) contraindication
What is reactive airway disease (such as asthma)?
Late postpartum hemorrhage causes, name two.
What are subinvolution (caused by tissue retention) and infection (endometritis)?
Umbilical cord prolapse management
What are relieve pressure on the cord with a gloved hand, reposition to knee-chest or Trendelenburg position, provide oxygen, emergent cesarean delivery?
Name at least three tocolytics (off label use)
What are terbutaline, nifedipine, indomethacin, and magnesium sulfate?
Infection
What is a patient at risk for post-hemorrhage?