care of postpartum woman at risk

Question 1

Postpartal Hemorrhage is the loss of more than – of blood at time of delivery or immediately after

Answer 1

500 mL

Question 2

identify conditions that causes early postpartum hemorrhage

Answer 2

Uterine Atony
Lacerations
Perineal Hematomas
Disseminated Intravascular
Coagulation

Question 3

identify conditions that causes early postpartum hemorrhage

Answer 3

Retained placental
fragments
Subinvolution

Question 4

• Relaxation of the uterus due to the loss of muscle tone
• most common cause of postpartum hemorrhage

Answer 4

Uterine atony

Question 5

signs:
“Boggy” uterus ; Large amounts of Dark red blood with clots

Answer 5

Uterine atony

Question 6

Unpleasant feeling of the mother following childbirth

occurs three to five days after delivery lasts up to 2 wks

happens to primipara mothers

Answer 6

postpartum blues

Question 7

give 3-5 clinical manef of postpartum blues

Answer 7

mood swings
anxiety
sadness
irritability

Question 8

wha tis the management for PB

Answer 8

• no specific treatment
• talk abt how they feel
• instruct for bed rest
• for social interactions

Question 9

major form of depression

develop as a result of pre exisiting depression which worsens after birth

affects the ability to care for the baby

Answer 9

postpartum depression

Question 10

management of PD

Answer 10

Counseling
Administration of anti-depressant
Administration of Hormone therapy
Tell the mother to be careful not to blame
the baby

Question 10

give 2-3 Clinical Manifestation of PD

Answer 10

● Lack of joy in life
● Feeling of shame, guilt, or inadequacy
● Severe mood swings
● Loss of appetite
● Difficulty bonding with the baby
● Insomnia
● Withdrawal from family and friends

Question 11

Characterized by loss of contact with
reality for extended periods of time

very serious EMERGENCY

Answer 11

Postpartum psychosis

Question 12

clinical manef of PP

Answer 12

Confusion and disorientation
● Auditory hallucination and delusions
● Paranoia
● Rapidly shifting depressed or elated
mood
● Illogical thoughts
● Periods of delirium or mania
● Suicidal or homicidal thoughts

Question 13

Infection of the endometrium (lining of
the uterus)

Answer 13

Endometritis

Question 14

clinical manef of endometritis

Answer 14

Fever (occurs on the 3rd and 4th
postpartum day)
○ Increase oral temperature to more than
(38C) for 2 consecutive 24-hours
periods
○ Can also be due to dehydration and the
environment (after 24 hrs)
○ On the 2nd /3rd day: underlying causes
which may be infection
● Chills
● Dark brown lochia with foul odor
● Loss of appetite
● General malaise
● Uterus not well contracted and painful to
touch

Question 15

A woman with a suture line on her
perineum is at greeting risk of acquiring

Answer 15

infection of the perineum