5 P's
Power refers to
Force of Contractions
__________________ increases the risk of UTI
Epidural/ FOLEY
_______________________ is an infection of the breast that can cause painful cracked nipples and also causes engorgement
Mastitis
What is the 3rd stage of labor
Delivery of the placenta
Engorgement is usually
bilateral
Passage refers to
Pelvis
_____________________ is among the leading cause of maternal mortality
Postpartum Hemorrhage
Foul smelling amniotic fluid is indicative of what
Infection
A patient has had a successful epidural but now reports continous pain what is that a sign of
Uterine Rupture
Tone refers to
Boggy uterus/ Uterine atony
Psyche refers to
Maternal mental health
Late Deceleration is a sign of what
Placental insufficiencies
As it relates to the 4 T's of postpartum hemorrhage trauma is caused by what
Episiotomy and Lacerations
What causes Boggy Uterus
Full Bladder
Post delivery the uterus should be at the ____________________
Umbilicus
Patience refers to
allowing labor to occur natural
____________________ is an unfavorable position for labor and requires repositioning
ROP
What causes endometritis
Prolonged labor/labor dystocia
Tissue refers to
Retained placenta and Incomplete Miscarriage
What are the s/s of infection
Fever, malaise, Increased WBC, and drainage
Passenger refers to
FETUS
Epidurals are know to increase ____________________ and cause ________________ for the Fetus
Hypotension & Bradycardia
Patient is having imminent delivery and wants pain medication and has passed the window for epidural what nursing intervention would be appropriate for the nurse
Use therapeutic communication and reassure the patient that she is close to delivery.
Who should you notify and what is needed if a patient has a placental abruption
Provider & Anesthesia
18g, c/section and blood transfusion
What increases risk for 3rd degree tears
Episiotomy, instrumental delivery, macrosomia, positioning and precipitous labor ( rapid Labor)