POSTPARTUM HEMORRHAGE JEOPARDY

Risk Factors

100

This labor complication increases risk for PPH due to uterine exhaustion

prolonged labor

200

This type of delivery increases risk for PPH due to surgical blood loss and uterine incision.

cesarean delivery

300

This is the most common cause of postpartum hemorrhage, involving failure of the uterus to contract effectively.

uterine atony

400

This medication used during pregnancy can increase the risk of postpartum hemorrhage due to uterine relaxation.

magnesium sulfate

Assessments

100

This finding, characterized by a soft and “mushy” uterus, is a key sign of postpartum hemorrhage.

boggy uterus

200

This vital sign change is often an early indicator of postpartum hemorrhage.

tachycardia

300

This emergency priority involves rapid identification and treatment of the underlying cause of hemorrhage using the “4 Ts” framework.

Tone, Trauma, Tissue, Thrombin

400

This skin finding reflects poor perfusion and may be seen in patients experiencing significant blood loss.

pale, cool, clammy skin

Nursing Interventions

100

This is the first nursing action when a postpartum patient has a boggy uterus.

fundal massage

200

This intervention helps the uterus contract by reducing bladder distention.

emptying the bladder

300

This intervention improves circulation to tissues during significant blood loss.

administering oxygen

400

This priority intervention focuses on restoring circulating volume.

fluid resuscitation & blood transfusion

Pharmacology

100

This medication is the first-line treatment for postpartum hemorrhage and works by stimulating uterine contractions.

oxytocin (Pitocin)

200

This uterotonic medication is contraindicated in patients with hypertension due to its vasoconstrictive effects.

methylergonovine (Methergine)

300

This prostaglandin medication used for PPH should be avoided in patients with asthma.

carboprost tromethamine (Hemabate)

400

This medication can be given rectally for postpartum hemorrhage and is a prostaglandin that promotes uterine contraction.

misoprostol (Cytotec)

Complications

100

This is the priority goal in managing postpartum hemorrhage.

maintaining adequate perfusion

200

This life-threatening condition occurs when the body cannot maintain adequate blood circulation due to severe blood loss.

hypovolemic shock

300

If initial interventions fail, this life-saving procedure may be performed to control bleeding and save the patient’s life.

hysterectomy

400

This complication involves widespread clotting followed by bleeding due to depletion of clotting factors.

disseminated intravascular coagulation (DIC)