High Risk
What symptoms are associated with a Pulmonary Embolism?
Chest pain & shortness of breath
Greatest risk factor for PPH
Uterine Atony
Common symptoms associated with Preterm Labor
Dull lower backache
Vaginal discharge
Nausea/Vomitting/Diarrhea
Dysuria
Pain in the thighs
Suprapubic pressure
Symptoms associated with postpartum depression?
Sadness, insomnia, and feeling anxious
How will the nurse educate patients taking anticoagulant therapy?
Use a soft bristle toothbrush
Avoid medications containing ASA
Notify provider if they experience black and tarry stools
First line drug for PPH?
Methylergonovine (Methergine)
Which medications are commonly used to treat preterm labor?
Nifedpine (procardia)
Magnesium sulfate
Indomethacin
Terbutaline (Brethine)
Describe a hematoma
Nursing Interventions to prevent thromboembolism
Compression devices
Early ambulation
Warm compress for pain
Common vital signs changes associated with PPH?
Tachycardia and hypotension
Which nursing interventions for a patient receiving magnesium sulfate?
Have calcium gluconate readily available
Monitor respirations closely
Monitor reflexes
Urine output
Assess neurological status
Assess vital signs often
Obtain magnesium drug levels
Nursing interventions for cord prolapse
Keep pressure off the cord by keeping the head off the cord; knee-chest or Trendelenburg position, administer oxygen and prepare the patient for surgery.
Which patient population receives Rho(D) immune globulin and when is it administered?
Rh negative blood types and it is administered at 28weeks gestation and again within 48 hours of delivery.
Risk factor for infection?
Prolonged rupture of membranes
Therapeutic glucose levels for patients with Gestational Diabetes
Maintaining a fasting blood glucose level below 92 mg/dL with postprandial levels below 180 mg/dL and 1-hour and 2-hour postprandial levels below 153 mg/dL.
Risk factors associated with Ectopic Pregnancies
Use of progestin-only mini pill (slows ovum transport)
Postpartum or postabortion infection
Altered estrogen and progesterone levels (interferes with tubal motility)
Age older than 35 years
Cigarette smoking
When are pregnant patients screened for GBS?
36 weeks gestation
What should the nurse include when educating a patient about postpartum infections?
Report any fever greater than 100.4 to their provider. Report symptoms of chills and odorous vaginal discharge. Continue to rinse with the peri bottle when you are discharged.
What are the therapeutic ranges for the glucose tolerance test?
Fasting glucose level: Less than 95 mg/dL
At 1 hour: Less than 140 mg/dL
At 2 hours: Less than 120 mg/dL
At 3 hours: Less than 95 mg/dL
What is the greatest risk factor associated with a vaginal birth after cesarean?
Uterine rupture