Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

OB > High Risk PP > Flashcards

High Risk PP Flashcards

(57 cards)

Start Studying
1
Q

what “traditionally” qualifies as hemorrhage?

A

greater than 500 ml

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what are symptoms of PP hemorrhage?

A
  • decreased BP
  • increased pulse
  • restlessness
  • decreased urine output
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

when does early (primary) postpartum hemorrhage occur?

A

within 24 hours following delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is early (primary) pp hemorrhage related to?

A
  • poor uterine tone-atony
  • lacerations
  • episiotomy
  • retained placental fragments
  • hematoma
  • uterine rupture
  • problems with placental implantation
  • coagulation disorders
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what can cause uterine atony?

A
  • over distention
  • prolonged labor
  • grandmultiparity (more than 5)
  • meds (mag sulf)
  • prolonged 3rd stage
  • preeclampsia
  • operative delivery
  • retained placental fragments
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what are some ways to manage atony related hemorrhage?

A
  • massage
  • IV access
  • infusion of crystalloid
  • blood products
  • bimanual massage
  • meds (pitocin, methergine)
  • D&C
  • arterial embolism
  • uterine packing
  • ligation of the uterine or iliac artery
  • hysterectomy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is associated with bright red bleeding with a firm uterus

A

lacerations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what are risks for laceration

A
  • nulliparity
  • epidural
  • precipitous delivery
  • macrosomia
  • operative delivery
  • pitocin
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what results from partial separation of the placenta?

A

retained placental fragments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is a possible cause of retained placental fragments?

A

massaging the fundus prior to separation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what should be done after retained placental fragments?

A
  • placenta should be inspected
  • uterine exploration
  • possible D&C
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is injury to a blood vessel from birth trauma or bleeding of a repair site allows for colelction of blood

A

hematoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what are risks for PP hematoma

A
  • preeclampsia
  • first full term delivery
  • precipitous labor
  • operative delivery
  • vulvar varicosities
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

management of PP hematoma

A
  • depends on size - may reabsorb or I&D (incision and drainage)
  • ice/heat
  • antibiotics
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what are risks for uterine rupture?

A
  • prior surgery or c/s
  • fetal malpresentation
  • grandmultiparity
  • operative vaginal delivery
  • pitocin induction
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is the management of uterine rupture?

A

surgery, fluids, blood replacement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

when does late (secondary) postpartum hemorrhage occur?

A

between 24 hours and 6 weeks post partum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what is late (secondary) pp hemorrhage related to?

A

retained placenta
subinvolution (not returning to pre-preg state)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what would the PP assessment for a patient with subinvolution look like?

A
  • high fundal height
  • rubra > 2 weeks
  • scant brown lochia
  • back ache
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what is used for management of late post partum hemorrhage due to subinvolution?

A
  • methergine (contract&constrict)
  • antibiotics (forminfection)
  • possible D&C (retained placenta)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what is infection of the reproductive tract occuring within 6 weeks following delivery?

A

puerperal infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

what classifies puerperal morbidity?

A

a temp of 38 celsius or higher for any 2 of the first 10 days postpartum, exclusive of the first 24 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what kind of delivery is at greater risk for puerperal infection?

Study These Flashcards
A

c/s delivery (incision)

24
Q

what are some risks for reproductive tract infections

Study These Flashcards
A
  • c/s delivery
  • diabetes
  • pprom
  • chorioamnionitis
  • multiple vag deliveries
  • lapses in aseptic technique
  • compromised health
  • internal monitoring
  • trauma
  • retained placenta/manual removal
25
what is inflammation of endometrial lining?
endometritis
26
what are s/sx of endometritis
* bloody vag discharge * foul smelling discharge * uterine tenderness * fever * tachycardia
27
what are causative agents of repro tract infections
* GBS, chlamydia, e. coli
28
what is management of repro tract infections
broad spectrum antibiotics
29
what is a repro tract infection that can spread to the entire peritoneal cavity?
peritonitis
30
what might you see in an assessment of a patient with an incision infection?
* redness * foul drainage * warmth * approximation
31
what can urinary tract infections be related to?
* PP diuresis * increased bladder capacity * decreased bladder sensitivity * catheterization * bacteria
32
what is the inability to empty the bladder due to trauma (first birth, laceration, episiotomy)
over distention
33
what is the management of over distention
* catheterize * encourage them to empty bladder
34
what can retention of urine, bacteria, and trauma cause?
UTI
35
what is a lower urinary tract infection called? (bladder)
cystitis
36
what is an upper UTI (kidney) called?
pyelonephritis
37
management of UTI?
* urine C&s * antibiotics * pyridium
38
what is inflammation of lobular connective tissue in the breast?
mastitis
39
what are some characteristics of mastitis
* unilateral * more frequent in nursing mothers * may progress to abscess * red, painful, swollen
40
what are causes of mastitis?
* milk stasis * bacterial invasion * trauma (lactation) * obstruction of ducts * failure to empty breast
41
treatment of mastitis
* frequent breastfeeding * supportive bra * ice packs * meds: antibiotics or analgesics
42
what is the formation of a blood clot called?
venous thrombosis
43
what is inflammation leading to the formation of the clot?
thrombophlebitis
44
what are causes of thromboembolic conditions?
* hypercoagulablity (inc. in pregnancy) * venous stasis * vessel injury
45
what are additional blood factors suring PP period?
* increased clotting factor * thrombocytosis * release of thromboplastin * increased fibrinolysis inhibitors
46
what are some risk factors of thromboembolic disease?
* c/s * immobility * smoking * prior thrombus * varicose veins * diabetes mellitus * AMA * multiparity * anemia * inherited disorders
47
what are s/sx of superficial thrombophlebitis
* tenderness * localized warmth/redness * normal temp/low grade fever * feel bump
48
management of superficial thrombophlebitis
* heat * elevation * analgesics * bed rest * elastic compression stocking
49
what are s/sx of DVT
* edema * tenderness * pale limb color * low grade fever, followed by spike * chills
50
management of DVT
* often require heparin therapy (in addition to superficial thrombophlebitis)
51
what is post partum depression also known as?
post partum major mood disorder
52
what are symptoms of PPD/PPMMD
* sadness/crying * sleep disturbances * changes in appetite * difficulty concentrating/decisions * feelings of worthlessness/inadequacy * lacks interest in pleasurable activity * lack interest in appearance
53
risk factors of PPD/PPMMD
* primiparity * ambivalence about pregnancy * PP blues * hx of PPD * lack of support * complications * loss of newborn * domestic violence
54
what is priority management of PPD/PPMMD
* antidepressants * psychotherapy * educate patients about PPD prior to discharge
55
what are symptoms of PP psychosis?
* irrational thinking * delusions * hallucinations * confusion * agitation * hyperactivity * insomnia
56
what are risk factors of PP psychosis?
* previous PP psychosis * hx of bipolar diorder * obsessive personality * social factors
57
management of PP psychosis?
* safety priority * often hospitalized * meds * psychotherapy/cognitive behavioral therapy * assistance with newborn

OB (15 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions