Excessive bleeding that occurs in the first 24 hours after delivery
What is primary PPH?
100
The 4 T's
What is Tone, Tissue, Trauma and Thrombin
100
Restlessness, anxiety, cool/clammy skin is indicative of this serious complication of PPH
What is Hypovolemic Shock?
100
Nursing intervention that assists with expulsion of clots
What is fundal massage
100
Most important factor in determining risk for PPH
What is obtaining accurate maternal history
200
The most common cause of Secondary PPH
What is retained placental tissue?
200
Most common cause of PPH
What is Uterine Atony
200
Normal type of Lochia immediately postpartum
What is Rubra
200
Medication associated with uterine involution
What is oxytocin
200
Stage of labour that requires active management from nursing
What is the third stage
300
The main cause of uterine displacement
What is a full bladder?
300
Additional Risk Factors not including the 4T's
What is (can be any of these) Previous PPH, Pre-eclampsia, arrest of descent, grand multiparity
300
Indicative of poor fundal tone (think palpation)
What is a soft and boggy uterus
300
After delivery of a baby, some blood loss is normal. When PPH is suspected, a nurse may weigh the saturated pads. The pads are weighed in grams, which converts to
What is 1g = 1mL or mLs (either answer is fine)
300
Components of postpartum assessment related to PPH
What is fundal height/firmness, lochia, VS, pain, LOC
400
Estimated abnormal blood loss after cesarean section indicating PPH
What is > 1000mL
400
Trauma that includes intentional laceration of perineum
What is an episiotomy?
400
Abnormal physical manifestations of PPH (think VS)
What is (can be any of these) tachycardia, weak and irregular pulse, tachypnea, drop in BP, decreased LOC, decreased urinary output)
400
Important blood work to be completed prior to birth in case transfusion is required
What is type and screen
400
Amount of time allowed for complete placenta expulsion
What is 30 minutes
500
Main responsibility of nurses on maternity unit
What is pt teaching
500
Frequency of maternal death in Canada related to PPH
What is 1 death every 4 minutes
500
Assisted birth (use of forceps/vaccuum) is associated with which T, increasing risk of PPH
What is Trauma
500
A non-pharmacological approach to comfort mom during suspected PPH
What is emotional support
500
Uterus must remain this in order to prevent PPH after delivery