Peripartum Bleeding
Nursing intervention to prevent postpartum hemorrhage by decreasing uterine atony
What is: fundal massage
This is the severe BP Range parameters
What is >/=160 systolic and/or 110 diastolic
The most common disease causing pregnancy-related mortality in the U.S.?
What is: Cardiac disease
Most common reversible cause of cardiac arrest in pregnancy
What is hemorrhage
2 main physiological goals for pregnancy
What is keep MAP >65 and PaO2 >90
What amount is atypical blood loss following a cesarean hysterectomy
What is > 1.5L
Check DTR’s during maintenance dose administration of MgSO4 this often
What is Q 4 hours
At what time during pregnancy is a patient at greatest risk for pregnancy related cardiac failure
What is: 3rd trimester/childbirth
The appropriate code to call for a pregnant patient in cardiac arrest
What is obstetrics code blue
Organ that provides protection, nutrition, respiration, excretion, & hormone production to the fetus
What is the placenta
Name 3+ medications to treat postpartum hemorrhage
What are:-Oxytocin-Hemabate-Methergine-Misoprostol-TXA
Priority medication for a patient experiencing an eclamptic seizure
What is a magnesium sulfate
Name 2 Peripartum Cardiomyopathy risk factors.
What is: Advanced maternal age ( 35+), high blood pressure ( preeclampsia, gestational hypertension). multiple gestation ( twins), more common in patients who identify as Black.
If ROSC is not achieved by __ minutes, a perimortem C section is performed
What is 4-5 minutes
Name 2 infections conditions that can cause postpartum sepsis
What are:Endometritis, Pyelonephritis, wound infection/nec fasciitis, pheumonia/influenza, Cholecystitis, mastitis or other GI.
Rubra Lochia lasts approx ____ days
What is ~ 4 days
3 medications used to treat severe range blood pressures
Labetalol, Hydralazine, Nifedipine
What is: Low-salt diet, fluid restriction, daily weights, smoking (drug) cessation, alcohol abstinence.
The main differences in resuscitating a pregnant person
What is manual L uterine displacement, difficult airway, hypoxemia occurs rapidly, and perimortem C section if no ROSC w/in 4-5 min
Frequency for breast pumping in ICU
What is Q 2-3 hours, not to exceed 1 4-5 hour stretch w/o pumping
Name 3+ obstetric causes of DIC
What are:-Abruption-AFE-IUFD-Septicemia-Massive hemorrhage-Preeclampsia-Transfusion Reaction-Fatty Liver
Name 1 diagnostic criteria for gestational HTN
What is: Diagnosed AFTER 20 weeks gestation, SBP >/140 and/or DBP >/ 90, 2x > 4 hours apart
Name 2 complications of endocarditis in pregnancy
What are:-CHF-Septic emboli-maternal/fetal mortality
Fetal delivery improves the chance of obtaining ROSC by____
decreases IVC compression, increases venous return, increases functional residual capacity (O2)
The components of mnemonic "CORD" for treating cord prolapse
What are:C= call for help, O= organize for delivery, R=Relieve pressure on cord, D= Delivery- emergency C section.