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Flashcards in Post Partum Deck (18)
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0
Q

Uterine Involution rate

A

Immediately- at umbilicus (u/u)
12-24 hours after, 1 fb below (1/u)
1 cm below umbilicus day pp day

1
Q

Assessments for 1-2 hours after delivery

A

Assess q15 for fist hour, then q30 for second hour:

Height, location, tone of fundus 
Perineum condition (ice pack)
Bleeding 
bladder 
fluid 
circulation
2
Q

EBL with NSVD

A

500 ml

3
Q

EBL with C-sec

A

1000ml

4
Q

Documentation of lochia

Scant

A

1” mark on pad

5
Q

Documentation of lochia

Moderate

A

5-6” on pad

6
Q

Documentation of lochia

Light

A

2-4” mark on pad

7
Q

Documentation of lochia

Heavy

A

Saturated pad

8
Q

When is Rhogam administered?

A

If mother - and baby +, within 72 hours of birth

9
Q

Pp hemorrhage

Clinical findings

A

Continuous trickle of blood from vagina
1 pad in <1 hour
Firm, bruised area at perineum

10
Q

Po hemorrhage

Etiology

A

Uterine Atony
Retained placenta
Laceration
Perineal hematoma

11
Q

If pt. is in shock, what do you do?

A

Call MD
Request stat H&H, start 18g catheter
KVO

12
Q

APGAR

5 scores

A
HR
Respiratory effort
Muscle tone
Irritability
Color
13
Q

Hemabate

A

Smooth muscle contractor
N/V
Diarrhea, vomit
H/A

14
Q

Methergine

A

Uterine stimulant

Arterial vasoconstrictor

15
Q

PP HR of >100 can mean what?

A

Infections or Hemorrhage.

16
Q

Wiht increased maternal blood volume pp, can cause what’s?

A

Pulmonary edema

17
Q

Increased risk of PPH

A
Anything that over-extends the uterus- LGA, multiples, etc
Obesity
Prolonged labor
Multiple deliveries
Forceps
Trauma