Ch33 study guide, PP (PP Complications/Hemorrhagic) exam 3

Question 1

loss of 500mL of blood or more after vaginal birth or of 1000mL of blood or more after c-section
OR
a 10% change in hct between admission for labor and PP
OR
the need for erythrocyte transfusion)

Answer 1

postpartum hemorrhage (PPH)

Question 2

classification of postpartum hemorrhage (PPH) if it occurs within 24hrs of birth

Answer 2

early (acute, primary)

Question 3

classification of postpartum hemorrhage (PPH) if it occurs more than 24hrs, but less than 6 weeks, after birth

Answer 3

late (secondary)

Question 4

marked hypotonia of the uterus

it is the leading cause of early PPH

Answer 4

uterin atony

Question 5

most common of all injuries in the low portion of the genital tract
(they are classified as first, second, third, and fourth degree)

Answer 5

perineal lacerations

Question 6

accumulation of blood in the connective tissue as a result of blood vessel damage

Answer 6

hematoma

Question 7

most common hematoma following birth

Answer 7

vulvar hematoma

Question 8

term used to refer to slight penetration of the myometrium by the placenta

Answer 8

placenta accreta

Question 9

term used to refer to deep penetration of the myometrium by the placenta

Answer 9

placenta increta

Question 10

term used to refer to perforation of the uterus by the placenta

Answer 10

placenta pecreta

Question 11

turning of the uterus inside out after birth

it can be incomplete, complete, or prolapsed

Answer 11

inversion of the uterus

Question 12

delayed return of the enlarged uterus to normal size and function following birth

Answer 12

subinvolution

Question 13

recognized caused of subinvolution

Answer 13

retained placental fragments and pelvic infection

Question 14

emergency situation in which profuse blood loss can result in severely compromised perfusion of body organs (death may occur)

Answer 14

hemorrhagic (hypovolemic) shock

Question 15

disorder in which coagulation is compromised, resulting in continuous bleeding

Answer 15

coagulopathy

Question 16

abnormally low platelet level (150-450)

Answer 16

thrombocytopenia

Question 17

autoimmune disorder in which antiplatelet antibodies decrease the life span of platelets

Answer 17

idiopathic thrombocytopenic purpura (ITP)

Question 18

type of hemophilia (it is probably the most common of all hereditary bleeding disorders)

Answer 18

von Willebrand disease

Question 19

formation of a blood clot or clots inside a blood vessel

Answer 19

venous thromboembolism (VTE)

Question 20

formation of a clot in a blood vessel as a result of inflammation

Answer 20

thrombophlebitis

Question 21

thromboembolic condition that involves the superficial saphenous venous system

Answer 21

superficial venous thrombosis

Question 22

thromboembolic condition in which involvement varies but that occurs most often in the lower extremities (it can extend from the foot to the iliofemoral region)

Answer 22

deep venous thrombosis (DVT)

Question 23

complication of DVT that occurs when a part of a blood clot dislodges and is carried to the pulmonary artery, where it occludes the vessel and obstructs blood flow to the lungs

Answer 23

pulmonary embolism

Question 24

any clinical infection of the genital canal that occurs within 28 days after miscarriage, induced abortion, or childbirth

Answer 24

postpartum (puerperal) infection

Question 25

infection located in the lining of the uterus (it is the most common postpartum infection)
- it usually begins as a localized infection at the placental site but can spread to involve the entire lining

Answer 25

endometritis

Question 26

infection of the breast soon after childbirth, most often affecting primiparous breastfeeding women

Answer 26

mastitis

Question 27

symptoms of shock

Answer 27

• Rapid thready pulse
• Pallor
• Hypotension (late sign)

shallow respirations, cool/clammy skin, decreased output, lethargy

• > coma, anxiety
• > coma, decreased CVP, boggy fundus, rapid blood loss

Question 28

1gram =

Answer 28

1mL of blood (so weigh pads dry and then wet)

Question 29

shock interventions

Answer 29

• GET HELP
• need IV
• check airway
• monitor VS, uterus, and bleeding