General Knowledge 1
This is usually attributable to partial separation of the placenta during massage of fundus before spontaneous placental separation
What is retention of fragments.
Two crystalloid fluids that can be administered during PPH
What is normal saline and lactated ringers.
Saturation of how many perineal pads in an hour is abnormal and should be reported by the mother
What is more than one pad per hour.
Women who have a history of "this" are 3 times more likely to be at risk with subsequent pregnancies
What is postpartum hemorrhage
This is performed until the uterus is firmly contracted, it may be uncomfortable, and the woman will need explanation for why this is necessary
What is fundal massage
This can occur if there is a traumatic event during childbirth which includes emergency cesarean sections, surgery or medical interventions without adequate anesthesia, or the loss of an infant.
What is posttraumatic stress disorder (PTSD)
The most common uterine stimulant administered to contract the atonic musculature following childbirth
What is oxytocin
Validating the existence of this phenomenon, labeling it as a real but normal adjustment reaction, and providing reassurance can offer a measure of relief for this change in mood
What is postpartum blues
The following are clinical features for "this" condition: sleep disturbances, depersonalization, hallucinations, delusions, psychomotor disturbances
What is postpartum psychosis
Can occur when all efforts to control hemorrhage fail
What is a hysterectomy
The most common postpartum infection
What is endometritis
Occurs in the first 24 hours after childbirth, and is the more common of the two
What is Early (primary) postpartum hemorrhage
Should by completed by all health care providers, families, and parents to reduce the risk of infection to the newborn.
What is proper hand hygiene
The leading cause of early postpartum hemorrhage
What is uterine atony
Hemorrhage, infection, thromboembolitic disease, and postpartum psychiatric disorders
What are the most common complications of the postpartum period.
The term used when the woman is unable to empty her bladder, usually because of trauma or the effects of anesthesia
What is postpartum urinary retention
Occurs from 24 hours to 6 weeks after birth
What is late (secondary) postpartum hemorrhage
Instructions should be provided on proper use of which specific medication to enhance absorption and avoid constipation and nausea
What is if iron supplementation is ordered
Excessive or bright red bleeding, a boggy fundus, abnormal clots, high temperature, unusual pelvic discomfort or backache, increase rise in the level of the fundus of the uterus, increased pulse or decreased BP, decreased level of consciousness.
What are signs of a postpartum hemorrhage
Reduce the rate of maternal mortality to 11.4 maternal deaths per 100,000 live births
What is the Healthy People 2020 Goal
An infection of the connective tissue in the breast that occurs primarily in lactating women
What is mastitis
This percentage is the drop in maternal hematocrit levels from pre-delivery baseline or excessive bleeding that causes hemodynamic instability or the need for a blood transfusion defining PPH
What is 10% or more
In order to prevent "this", the woman should be aware of the importance of regular, complete emptying of the breasts
What is engorgement
The following are risk factors for "this": major depression, stressful life events, lack of social support, age, complications of delivery, lack of a stable supportive relationship with parents or partner
What is postpartum depression
The response called when staff is in need of assistive personnel due to maternal or fetal complications at Trinity Health
What is Code Stork