Pathophysiology
The most common cause of PPH
What is uterine atony?
Life-threatening blood loss occurring after birth
What is Postpartum hemorrhage (PPH)?
The first line drug for uterine atony
What is Pirocin?
Greatest risk period for postpartum hemorrhage?
What are the first 24 hours after delivery?
First intervention to perform when uterine atony is present
What is Fundal massage?
Incomplete involution of the uterus or failure to return to its normal size and condition after birth
What is subinvolution?
Blood loss that occurs within 24 hours of birth
What is primary (immediate or early) postpartum hemorrhage?
Med given to control postpartum hemorrhage that is contraindicated in patients with hypertension
What is Methylergonovine maleate (Methergine)?
Assisted delivey instruments
What are forceps and vacuum?
Most common cause of subinvolution
What are retained placenta fragments?
Consistency of the uterus during uterine atony
What is boggy?
Blood loss that occurs 24 hours to 12 weeks after birth
What is delayed (late) postpartum hemorrhage?
Med given to control postpartum hemorrhage that is contraindicated in patients with asthma
What is Carboprost (Hemabate)?
Placenta is near or covers the cervix
What is Placenta Previa?
Method to quantify blood loss after delivery
What is weighing peripads, chux pads, and sponges?
Form to prevent PPH immediately after birth by providing hemostasis
What are thrombi?
PPH is defined as a blood loss greater than ____ mL after vaginal birth or more than ____ mL after a cesarean birth.
What is 500 mL , 1000 mL
The two first line treatments for PPH
What are Manual massage (fundal massage) and pharmacological therapies (oxytocin; pitocin)?
The uterus is enlarged due to too much amniotic fluid or a large baby
What is Overdistended Uterus?
A firm fundus w/ increased HR and decreased BP w/o any peri pad saturation suggests...
What is Hematoma?
What are Tone, Tissue, Trauma, Thrombin
Two important vital signs that are important to monitor when observing for postpartum hemorrhage
What are Heart rate and Blood pressure?
** Daily double** The RN is caring for a woman experiencing postpartum hemorrhage two hours after an induced vaginal delivery at 36 weeks 2 days for severe pregnancy induced hypertension. The fundus is boggy and firms with massage. The patient has an IV infusion of lactated ringers running. What is the best intervention for this patient?
What is start IV oxytocin infusion?
Which of the following would be at the highest risk for PPH?
A vaginal delivery lasting 16 hours
A cesarean for a patient with preeclampsia
A vaginal delivery of twins
The use of forceps during delivery
What is A c-section for a patient with preeclampsia?
Renal symptom related to hypovolemic shock
What is oliguria?