Peripartum Bleeding
Nursing intervention to prevent postpartum hemorrhage by decreasing uterine atony
What is: fundal massage
This is the severe BP Range parameters
What is >/=160 systolic and/or 110 diastolic
The most common disease causing pregnancy-related mortality in the U.S.?
What is: Cardiac disease
Most common reversible cause of cardiac arrest in pregnancy
What is hemorrhage
2 main physiological goals for pregnancy
What is keep MAP >65 and PaO2 >90
What amount is atypical blood loss following a cesarean hysterectomy
What is > 1.5L
Check DTR’s during maintenance dose administration of MgSO4 this often
What is Q 4 hours
At what time during pregnancy is a patient at greatest risk for pregnancy related cardiac failure
What is: postpartum
After 20 wks gestation, this maneuver should be performed during resuscitation to relieve aortocaval compression
What is Left Uterine displacement
Organ that provides protection, nutrition, respiration, excretion, & hormone production to the fetus
What is the placenta
Name 3+ medications to treat postpartum hemorrhage
What are:-Oxytocin-Hemabate-Methergine-Misoprostol-TXA
Priority medication for a patient experiencing an eclamptic seizure
What is a magnesium sulfate
Name 2 Peripartum Cardiomyopathy risk factors.
What is: Advanced maternal age ( 35+), high blood pressure ( preeclampsia, gestational hypertension). multiple gestation ( twins), more common in patients who identify as Black.
If ROSC is not achieved by __ minutes, a perimortem C section is performed
What is 4-5 minutes
Name 2 infections conditions that can cause postpartum sepsis
What are:Endometritis, Pyelonephritis, wound infection/nec fasciitis, pheumonia/influenza, Cholecystitis, mastitis or other GI.
Rubra Lochia lasts approx ____ days
What is ~ 4 days
3 medications used to treat severe range blood pressures
Labetalol, Hydralazine, Nifedipine
What is: Low-salt diet, fluid restriction, daily weights, smoking (drug) cessation, alcohol abstinence.
In the OB Code Blue pneumonic, CABDE, what does "E" stand for?
What is extract fetus
Frequency for breast pumping in ICU
What is Q 2-3 hours, not to exceed 1 4-5 hour stretch w/o pumping
Name 3+ obstetric causes of DIC
What are:-Abruption-AFE-IUFD-Septicemia-Massive hemorrhage-Preeclampsia-Transfusion Reaction-Fatty Liver
Name 1 diagnostic criteria for gestational HTN
What is: Diagnosed AFTER 20 weeks gestation, SBP >/140 and/or DBP >/ 90, 2x > 4 hours apart
Name 2 complications of endocarditis in pregnancy
What are:-CHF-Septic emboli-maternal/fetal mortality
Fetal delivery improves the chance of obtaining ROSC by____
decreases IVC compression, increases venous return, increases function residual capacity (O2)
The components of mnemonic "CORD" for treating cord prolapse
What are:C= call for help, O= organize for delivery, R=Relieve pressure on cord, D= Delivery- emergency C section.