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: 3rd trimester/childbirth
The appropriate code to call for a pregnant patient in cardiac arrest
What is obstetrics code blue
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 specific to OB.
What is: Advanced maternal age ( 35+), high BP (preeclampsia, gestational hypertension). multiple gestation, more common patients who are African American/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.
The main differences in resuscitating a pregnant person
What is manual L uterine displacement, difficult airway, hypoxemia occurs rapidly, and perimortem C section if no ROSC w/in 4-5 min
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
How does fetal delivery improve the chance of obtaining ROSC
decreases IVC compression, increases venous return, increases functional 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.