Fun with the Fundus
Lochia Love
Contracting the Uterus
Physiological Adaptions
Its Complicated
Risk Factors for PPH
100
The only way the fundus must remain in the postpartum period.
What is midline, firm/contracted?
100
Name the color, the amount of the lochia, and the expected time frame/duration.
What is lochia rubra?
What is light 1-4 inches?
What is 1-3 days?
100
Always the first intervention for uterine atony/boggy uterus.
What is fundal massage?
100
An expected finding vital sign that may be elevated for the first 24 hours after giving birth, and what do we do about it.
What is temperature?
What is hydrate the client PO first?
100
Both breasts are swollen. Encourage the client to breast feed more frequently.
What is engorgement?
100
The number one cause of PPH
What is uterine atony?
200
Its where the fundus should be located by 12 hours postpartum.
What is at the umbilicus?
200
Name the color, and expected time frame/duration.
What is lochia serosa?
What is 3-10 days?
200
After Oxytocin, this is often the first medication given. Name the medication, and the contraindication.
What is methylergonovine(methergine), and not with high BP?
200
What happens during the postpartum chills, and what do we do about it.
The client uncontrollably shakes, and provide a warm blanket and fluids?
200
Client feels these often while breastfeeding. It is due to the release of Oxytocin.
What is afterpains?
200
Causes of overdistended uterus that can lead to PPH
What is increased amniotic fluid, macrosomic baby over 4000 g(9 lbs)?
300
If the fundus is deviated to the right, this organ may be the culprit.
What is the bladder?
300
Name the amount of lochia.
What is saturated/heavy?
300
You cannot give this uterine stimulant with asthma or high BP.
What is carboprost (hemabate)?
300
The urinary system may act two ways during the first couple of days postpartum. Name the expected findings.
What is urinary retention?
What is EXCESSIVE URINE DIURESIS (1,500 TO 3,000 ML/DAY)?
300
Red mass in one breast. Client may have flu-like symptoms.
What is mastitis?
300
The term for labor and delivery of a baby in less than 3 hours which can lead to PPH.
What is precipitous delivery?
400
This is the number one cause of postpartum hemorrhage.
What is uterine atony/boggy uterus?
400
Name the lochia, and the duration.
What is lochia alba?
What is day eleven up to possibly 6 weeks?
400
Considered the most invasive medication because of its route. What is it, and what is the route.
What is misoprostol (cytotec) and rectal?
400
The nurse notes that the pad has a scant amount of lochia, but the client appears pale. Name another assessment this client may need to assess the amount of lochia.
What is ASSESS FOR POOLED LOCHIA ON THE PAD UNDER THE CLIENT?
400
Interventions for DVT management.
Get them up and walking, elevate legs, but do not put anything behind the knees, measure leg cirumfrence, anticoagulants(no warfarin in pregnancy)?
400
Prolonged induction of labor (greater than 12 hours) with this medication can lead to PPH
What is oxytocin?
500
Anytime after the first twelve hours of birth if the fundus is here, the client is at risk for PPH, and what is the healthcare term.
What is above the umbilicus?
What is subinvolution?
500
Name the amount of lochia.
What is moderate, 4-6 inches?
500
Name some interventions during a PPH.
What is fundal massage, weight blood- soaked items, insert a foley, elevate legs 20-30 degrees, fluid/blood products, give uterine stimulants/uterotonics(medications)?
500
It is never normal for this vital sign to be elevated, as it could mean the client is experiencing a pph, which is hypovolemic shock.
What is heart rate/tachycardia?
500
INFECTION OF UTERINE LINING, GENERALLY STARTING AS A LOCALIZED INFECTION AT THE PLACENTAL ATTACHMENT SITE SPREADING TO INCLUDE THE ENTIRE UTERINE ENDOMETRIUM
TENDERNESS/ENLARGEMENT, DARK PROFUSE LOCHIA, MALODOROUS/PURULENT LOCHIA, TACHYCARDIA.
What is ENDOMETRITIS ?
500
The Use of this medication for gestational hypertension can lead to PPH.
What is magnesium sulfate?