Ch 22 Nursing management of the postpartum woman at risk

Question 1

Endometriitis

Answer 1

A uterine infection that typically develops within 2 to 4 days postpartum to as late as six weeks

Question 2

Mastitis

Answer 2

Inflammation of the mammary gland, a common problem that may occur within the first two days to two weeks postpartum

Question 3

Post partum, depression

Answer 3

Form of clinical depression, that can affect women, and sometimes men, after childbirth

Question 4

Postpartum hemorrhage

Answer 4

Potentially life-threatening complication that can occur both after vaginal and cesarean birth

Question 5

Subinvolution

Answer 5

Refers to incomplete involution of the uterus or failure to return to its normal size and condition after birth

Question 6

Uterine atony

Answer 6

Failure of the uterus to contract and retract after birth

Question 7

Drugs used to control postpartum hemorrhage

Answer 7

Oxytocin (pitocin) First line therapy; stimulates the uterus to contract, and control, bleeding from the placental site
Misoprostol (cytotex): Stimulates the uterus to contract to reduce the bleeding; a prostaglandin analog

Question 8

Pathophysiology of postpartum hemorrhage
The five T

Answer 8

1. Tone; uterine atony, distended bladder
2. Tissue; retained, placenta, and clots
3. Trauma; vaginal, cervical or uterine injury
4. Thrombin; coagulopathy pre-existing are required, DIC