Hemorrhage
Four T's of Hemorrahage
T- Tone- Boggy Uterus/Uterine Atony
T-Tissue retained Placenta
T- Trauma- laceration/instrumental delivery
T- Thrombin- clotting issue/DIC
Wounds are cx by
laceration & C/s
A patient had a instrumental delivery due to the baby weight of 5200 grams what kind of tear does the nurse suspect this patient has
3rd
Who can have a tolac and who makes decision
why tolac is contraindicated
previous c/s and joint decision between client and OB
Classic incision
VEAL and its meaning
Variable-Cord Compression
Early Head compression
Acceleration oxygen good
Late Placenta Problems
Treating patient with hemorrhage
Oxytocin-
Pictocin
Methedrine
Cytotec
Carboprost
____________________________ are common among pt patients with epidurals and foleys
UTI
What is important as it relates to lochia
Salivating pads within hour and last time pad was changed
Important lab test
CBC
urinalysis
Group B
Type and Screen blood type and RH
Four categories of variability
absent-0 no change
minimal- 1-5
moderate- well oxygen 5-25
marked > 25
Monitor & caring for patient with pp hemorrhage
vitals CBC D&C hysterectomy
Breast infection caused by Staph A
Mastitis
A postpartum mom had c/section 1 day ago her legs are now warm to the touch and has redness. What condition should the nurse suspect? What is a side effect of treatment? How should it be treated and what patient education should be provided
DVT, Low dose Heparin
Side effect Bleeding
Look for bruising
What is important to note about vacuum delivery
3 pop offs allowed
may cx laceration
assisted delivery mom push dr pulls
pt has prolonged second stage
Risk factors for abruption
cocaine
abdominal trauma
previa
c/s hx
CBC of 7.5
Transfusion
Is caused by prolonged labor
Endometritis
pt comes in 35 weeks contraction 5-10 mins/ consistently and noticeable decels with contractions what should the nurse do and what should she supsect
Preterm labor and head compression call the provider and NICU no pain meds due to rr rate
What are the fetal presentations
Cephalic-head
Shoulder c/s
breech buttox
Footling - Feet present
Intervention for induction
manual dilation
prostaglandin
pictocin
AROM
FHR monitoring
What education can you give a postpartum mom to help prevent breast infection
Hand hygiene
True Contractions
regular intervals
increase in intensity
increase duration
unchanged with shower and rest
cervical changes
Reasons to notify provider ASAP
Temp above 38
B/P 149/90 90/60
RR above 24
vaginal bleeding, abnormal FHR, imminent delivery
TOCO
external monitoring of frequency and duration of contractions