Maternal Hemorrhage
postpartum hemorrhage can occur up to how many weeks after birth
what is 6 weeks
When the placenta develops over the cervix
What is placenta previa
What is the cause of green staining in amniotic fluid
What is meconium
when the top of the baby's head appears in the vaginal opening,
What is crowning
What are 3 s/s of postpartum HTN
What are BP 160/110 or 140/90 with HA, visual disturbances, epigastric pain, and proteinuria
Severe postpartum hemorrhage is defined by how much blood loss
What is 1500 ML
What the placenta prematurely separates from the uterine wall
What is abruptio placenta
The 2 most common causes of abruptio placentae
What are HTN and trauma
When the baby is coming and there is no way to stop it
What is precipitous birth
Name 3 risk factors of postpartum HTN
What are obesity, women over 35, first pregnancy, chronic HTN, multiple pregnancies, IVF, and hx of preeclampsia
After treating a maternal hemorrhage patient, what has to be sent to L&D with them
What is all bloody linen, clothes, and supplies
This event differentiates eclampsia from preeclampsia
What is seizure
What is it called when the umbilical cord is wrapped around the baby's neck
What is nuchal cord
What is the 1st step to reduce bleeding after delivery
what is massage the fundus
What questions do you need to ask when triaging postpartum pts
Are you experiencing SOB, seizures, bleeding through 1 pad/hr or passing large clots, red swollen legs, h/a, vision changes, BP >140/90, thoughts of hurting self or baby
What are s/s of postpartum hemorrhage besides blood loss. name three
What are SBP 70-80, HR >120, tachypnea, coolness, pallor, confusion, agitation
When a baby's shoulder becomes stuck behind the mother's pubic symphysis
What is shoulder dystocia
When triaging female childbearing age patients, you need to ask what question.
What is have you been pregnant in the last 6 weeks including miscarriage and abortions
When do you clamp the umbilical cord
What is when is stops pulsating
These medications are used to treat HTN in pregnant patients
What is Nifedipine, Labetolol, and Hydralazine
What are the four T's (causes of postpartum hemorrhage)
What are tone, trauma, tissue, and thrombin
The sign when the baby's head retracts against the perineum during delivery. (The head appears then disappears)
What is turtle sign
This is done when performing CPR on a pregnant woman when the fetus is large enough to compress the vena cava
What is displace the fetus to the left
The score used as a method for reporting the status of the newborn is called what and what are the ranges
What is the Apgar score.
7+ good
3-6 emergent
0-3 critical
The loading dose range of Magnesium sulfate and how long to infuse
What is 2-6 grams IV over 20-20 minutes