Hypertension
Characteristics of gestational hypertension
elevated BP after 20wks, no proteinuria, no end organ damage, resolves 6-12wks pp
The most common cause of postpartum hemorrhage
Uterine atony
What need to do before you can assign yourself to the patient’s treatment team
Sign in
List good characteristics of good positioning
Wide open mouth, baby brought to the breast, leading with chin
Frequency of vital signs
q 5 x 15 min, then q 15 min for 1-2 hrs
The most common type of stroke in pregnant patients
Hemorrhagic
Percentage of blood loss that patient should be monitored for signs of shock
20-30%
What do you select to document in real time?
Add column
Frequency new mother should feed NB
At least 8-12 X's in 24hrs
Monitoring of patients in the PACU includes
Cardiac monitoring continuously, O2 sats and BP
The therapeutic range for magnesium sulfate
4-7meq
Definition of placenta accreta
Superficially into myometrium, requires manual removal
How can you see flowsheet rows for something that was completed?
Uncheck Hide Completed
Assessment of good breastfeeding attachment
Head and body are in a straight line with shoulders supported
Minimum temperature to DC patient from PACU
97 degree F
4 Signs and symptoms of preeclampsia
Headache, visual disturbances, epigastric pain, proteinuria
Types of placenta previa
partial, marginal, incomplete
Where can you see the date and time of delivery
Hover over the green highlighted baby on the Storyboard
Go to the delivery summary and scroll to Delivery (Newborn)
Assessment of newborn swallowing
"ca" or "heh" sound, rhythmic suck, pause and swallow cycle
Which physician orders are followed in the PACU
anesthesia
Drug of choice for anticonvulsive therapy for eclampsia
Magnesium Sulfate
Who can call to activate OB MTP Protocol
Nurse, Resident, MD
What do you select to document in a flowsheet something from one hour ago?
Insert column
Length of time skin to skin is maintained
until the first breastfeeding session has occured
Name 5 discharge criteria for DC from PACU
Stable vital signs, O2 sats> 95%, improving regional anesthesia, urinary output >30cc/hr, stable inc, and lochia