Assessment
On day zero PP, you feel for the fundus, where is it?
What is at U?
You can no longer feel your patient's fundus/ uterus on what day PP?
What is day 10?
The patient calls out to tell you her breasts are both firm and feel heavy. You suspect...
What is engorgement?
Patient reports she is constantly voiding in the initial days following her delivery...normal or abnormal?
What is normal (PP diuresis).
This is your first line medication for a PP hemorrhage
What is Pitocin
The patient's uterus/ fundus is shifted to the right. What is the first thing you suspect?
What is a full bladder?
The patient's fundus is at U/3, this is normal for a patient when? (3 under the umbilicus)
What is on PP day 3?
What is the most common cause of a PPH?
What is Tone (atony)?
The first stage in maternal adaptation.
What is taking in?
You would not give this medication to a patient with Asthma during a PPH.
What is Hemabate (Carboprost tromethamine)?
This is the fluctuating feelings a woman can experience after her delivery, that is short lived and usually resolves in 10 days.
What are baby blues?
If a mother is non-lactating(formula feeding) she should usually expect her first period to be when?
What is at 7-9 weeks?
To be considered a PPH, the blood loss must be...
What is >1000 ml?
This is a tear through the patient's perineal muscles.
What is a second-degree tear?
This medication can be used rectally in a PPH.
What is cytotec (misoprostol)?
REEDA stand for....
What is Redness, Edema, Ecymosis, Discharge, Approximation?
Because hypercoagulation is normal in the initial PP period, you know to assess for this.
What is DVT?
This is an infection of the uterine lining.
What is endometritis?
You are concerned for PP constipation with your patient, what medication do you recommend they take?
What is Colace (docusate sodium)
You tell the doctor your patient can NOT have methergine (Methylergonovine) during their PPH, Why?
What is because they have HTN.
The two types of a PP Hemorrhage are known as.
What is early (first 24 hours) and late (>24 hours)?
"Contraction" like pains that occur during postpartum. Often caused by the release of oxytocin with nursing.
What are after afterpains?
S. Areus is usually the cause of this infection.
What is mastitis?
PP day 5 patient calls in from home concerned she is bleeding too much. What two ways does the patient look for to know if she is having bleeding that is too heavy?
What is soaking a pad in less than an hour and having clots the size of a golf ball/ egg?
This medication is used to prevent the patient's body from breaking down clots in a PPH.
What is TXA?