Postpartum Hemorrhage
What is the most common cause of postpartum hemorrhage?
Uterine atony
This mild emotional state affects up to 80% of mothers within 2-3 days after delivery
baby blues
A term to describe a firm, tender, and distended breast?
Engorgement
What are two medications the nurse might give to help the uterus contract during a postpartum hemorrhage?
Oxytocin (Pitocin) and Methergine
What would you assess if the mom is one day postpartum and the pad gets soaked in 15 minutes and their fundus is firm?
Vaginal laceration
What is the term for the failure of the uterus to go back to its pre-pregnant state?
What is the term for the rare, severe postpartum mood disorder that can include hallucinations, delusions, and risk of harming self or baby?
postpartum psychosis
What is the first milk produced after birth that is rich in antibodies?
colostrum
Medication given to Rh- negative moms after delivery of the baby is Rh-positive?
RhoGAM
What is the mnemonic when performing a postpartum assessment ?
Bubble he
What is the first nursing intervention when you suspect a postpartum hemorrhage?
Massage the fundus
What is the priority action if a mom expresses thoughts of harming herself or baby?
Ensure safety and call MD immediately
True or False: The mother's entire areola should be in the mouth, not just the nipple.
True
What is given to moms postpartum to prevent straining?
Stool Softner
What is the term used when the uterus does not return to its pre-pregnancy state?
Subinvolution
Blood loss greater than 500 mL is considered a?
vaginal postpartum hemorrhage
A mom who is 3 weeks postpartum comes to the clinic expressing concern of not wanting to bond with her baby and finds little motivation for her daily activities. What is she showing signs of?
Postpartum Depression
What is the hormone responsible for milk production?
Prolactin
If a mom has a high blood pressure what medication can she not receive postpartum?
Methergine
In the first hour postpartum, how often should vitals be checked?
every 15 minutes
A woman who develops persistent bright red bleeding despite a firm fundus is likely experiencing?
laceration
A drop in these two hormones usually play a role in postpartum mood changes.
Estrogen & progesterone
What is the best position to place a baby after feeding to help reduce the risk of aspiration?
On their back or supine
True or False: Oxytocin (Pitocin) can be used to induce labor and prevent a postpartum hemorrhage
True
Swelling, redness and severe pain in the perineum can be a sign of what?
hematoma