Background
Postpartum hemorrhage is defined as ____ mL after a vaginal delivery
500
The most common cause of PPH is
uterine atony
You assess a patient and notice presence of large clots following a cesearan section. Which of the following is most appropriate first action?
massage the uterus
Name two complications of PPH
Anemia
Hypovolemic shock
Postpartum hemorrhage is defined as_____ mL after a cesearan section
1000mL
There is a greater risk for PPH to occur if_____ is noted
past history of PPH
When assessing for causes of postpartum hemorrhage, the nurse is to document findings of a ________ bladder.
overdistended
List 2 symptoms of hypovolemic shock
•Tachycardia
•Hypotension
•Pale, clammy skin
•Oliguria (decreased urine production)
Women who are ____ weeks gestation and beyond are at greater risk
20
What is the definition of uterine atony
when the uterus fails to contract after delivery
What is a contraindication with the administration of Methergine
hypertension
Your patient had a cesearan delivery three days and is now being prepared for discharge. To help prevent postpartum hemorrhage complications, what would you teach your patient regarding to exercise?
Limit exercise and conserve strength
PPH is the most preventable cause of ____
maternal death
PPH is defined as: blood clots larger than the size of a _____
quarter
How often do you massage the uterus after delivery
•15x4, 30x2, hourly
Immediate administration of ______ bolus prevents PPH
Oxytocin (Pitocin)
PPH occurs in the _____ stage of labor
3rd
PPH is defined as: saturated perineal pad within _____ minutes
15
Name 2 medications used to treat PPH
Methergine
Oxytocin (Pitocin)
Cytotec
The 3rd stage of labor is described as:
time between delivery of the child and delivery of the placenta