Postpartum Hemorrhage
This is the most common cause of early postpartum hemorrhage.
What is uterine atony?
Increased perineal swelling, intense pain unrelieved by medication, and signs of hypovolemia after delivery indicate this concealed postpartum complication.
What is a hematoma?
This mood change peaks around postpartum day 5 and resolves without treatment.
What is postpartum blues?
This fetal heart rate pattern is associated with placental insufficiency.
What are late decelerations?
Breastfeeding mothers need approximately this many extra calories per day.
What is 450–500 additional calories per day?
A postpartum client has heavy bleeding, and the uterus is firm but deviated to the right. The nurse should assess for this condition first.
What is distended bladder?
This hypertensive disorder can still develop up to 6 weeks after delivery.
What is preeclampsia?
This postpartum condition lasts longer than two weeks and affects daily functioning.
What is postpartum depression?
Repositioning a laboring client to a left side-lying position improves this.
What is placental blood flow?
This nutrient is especially important postpartum to replace blood loss after delivery.
What is iron?
This is the first nursing action when postpartum bleeding is excessive and the fundus is boggy.
What is fundal massage?
This complication typically occurs 2-3 days after delivery and is characterized by uterine tenderness, foul smelling lochia, and a fever greater than 100.4.
What is endometritis?
Hallucinations and delusions after birth indicate this psychiatric emergency.
What is postpartum psychosis?
This labor medication should be stopped if late decelerations occur.
What is oxytocin?
This vitamin should continue to be taken during breastfeeding to support maternal and infant health.
What are prenatal vitamins?
This medication is contraindicated in clients with asthma.
What is carboprost (Hemabate)?
This medication is commonly given to treat uterine atony but is contraindicated in hypertension.
What is methylergonovine (Methergine)?
This priority nursing action is done when a client expresses thoughts of harming herself or the baby
What is ensuring the immediate safety of the mother and infant, staying with the client and notifying the provider?
This infection requires intrapartum antibiotics when the mother’s GBS status is unknown and labor is preterm.
What is Group B Streptococcus (GBS)?
Breastfeeding mothers should increase this to maintain milk supply and hydration.
What is fluid intake?
Pale skin, rapid pulse, and low blood pressure indicate this life-threatening complication.
What is hypovolemic shock?
Fever greater than 100.4°F for two consecutive days after the first 24 hours postpartum indicates this condition.
What is postpartum infection (puerperal infection)?
This treatment may be required for postpartum depression.
What is psychotherapy and/or antidepressant medication?
This maternal condition increases the risk of neonatal respiratory distress due to delayed surfactant production.
What is diabetes in pregnancy?
Excessive intake of this stimulant may make the newborn irritable and disrupt sleep.
What is caffeine?