Definitions
Heavy, excessive bleeding that happens after giving birth.
What is postpartum hemorrhage?
What are the four T's regarding postpartum hemorrhage?
What are Tone, Tissue, Traume, and Thrombin.
When measuring blood loss, 1 gram of blood equals about this much in mL?
What is 1 mL?
Fundal massage is the first mechanical intervention for atony, and this drug is the first-line pharmacologic treatment.
What is oxytocin?
For a boggy uterus, this is the nurse's first hands-on action.
What is fundal massage?
The World Health Organization defines postpartum hemorrhage as blood loss greater than this amount.
What is 500 mL?
This T refers to hemorrhage caused by a laceration.
What is trauma?
A boggy fundus palpated above the umbilicus and displaced to the right most likely signals this.
What is a full bladder?
Methergine (methylergonovine) should be avoided in patients with this condition because it can raise blood pressure.
What is hypertension?
The nurse establishes this so fluids and medications can be given.
What is an IV site?
Postpartum women may not show obvious signs of hemorrhage until about this fraction of their blood volume has been lost.
What is one-third?
This T refers to having a boggy fundus.
What is tone?
A woman presents with increased vaginal bleeding 8 days postpartum. She states: "The bleeding was almost gone and now it is heavy and dark red." This patient is most likely experiencing what?
What is late postpartum hemorrhage?
This antifibrinolytic is abbreviated TXA.
What is tranexamic acid?
The nurse asks this question to be sure how fast the patient is bleeding through the pad.
What is "When was the pad last changed?"
Completely saturating one pad in this many minutes during the first hour after birth suggests hemorrhage.
What is 15 minutes?
The T-Tissue refers to what?
Severe perineal or rectal pressure and pain that's out of proportion, with a firm uterus and little visible bleeding, suggests this.
What is a hematoma?
Hemabate (carboprost) is given 250 mcg IM, but it should be avoided in patients with this condition because of bronchospasm risk.
What is asthma?
If heavy bleeding persists despite nursing interventions, the nurse should notify who immediately?
Who is the provider.
For every 450 to 500 mL of blood lost, hemoglobin drops about this much.
What is 1.5 g/dL percent?
Which T is most responsible for PPH?
What is Tone?
Hemoglobin and hematocrit levels on this postpartum day best predict the hemoglobin level at 6 weeks.
What is postpartum day 2.
This smooth-muscle relaxant medication used in preterm labor or preeclampsia management can actually contribute to uterine atony and postpartum bleeding if continued or given improperly.
What is magnesium sulfate?
The nurse teaches that after the first day or so, the fundus should move down about this much each day toward the symphysis pubis.
What is about 1 cm (one finger)?