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NUR 359: OB > PP Complications > Flashcards

Flashcards in PP Complications Deck (36):
1

define PP hemorrhage after vaginal birth

> 500 cc

2

define PP hemorrhage after c sec

> 1000 cc

3

what is the biggest problem with PP hemorrhage?

-life threatening with little warning
-unrecognized until there are profound s/s

4

PP hemorrhage etiology/risk factors

-uterine atony
- lacerations of the genital tract
- hematoma's
-retained placenta
adherent or non adherent
-inversion of the uterus
-subinvolution of the utrus

5

def inversion of the uterus

turning inside out of the uterus

6

s/s of subinvolution of the uterus

-late PP bleeding
-prolonged lochial discharge
-irreg bleeding

7

PP hemorrhage assessment

- early recognition critical
- eval contractility of the uterus

8

PP hemorrhage interventions

- eval contractility of the uterus
- firmly massage fundus
-call for help STAT
-admin IV fluids and meds to manage bleeding
- may give pitocin to contract the uterus
- try to get pain meds to mom
-glove up
- manually pull out placental residue

9

def thromboembolism

blood clot caused by inflammation or partial obstruction of bv

10

causes of thromboembolism

venous stasis
hypercoag

11

def Puerperal sepsis

any infec of the genital canal within 28 days after abortion or birth

12

what are the most common infec agents in PP infecs?

streptococcal
anaerobic

13

most common PP infecs

- endometritis
-wound infecs
-UTI's
-mastitis

14

what is the difference bx engorgement and mastitis

-engorgement may cause temp to go up a little, not a lot
- mastitis is infec of the breast

15

s/s of mastitis

fever
weakness
engorgement
redness
swelling
discharge

16

can a mom breastfeed if she has mastitis

yes

17

can a mom breastfeed out of the infected breast with mastitis

yes

18

what common abx is used for the tx of mastitis

Lorabid

19

can a mom nurse while on an abx for mastitis

yes

20

disorders of uterus/vagina r/t childbearing

- uterine displacement/prolapse
- urinary incontinence

21

which is more serious: uterine displacement or prolapse?

prolapse

22

def cystocele

protrusion of the bladder downward into the vagina when support structures in vescovaginal septum are injured

23

def rectocele

herniation of the anterior rectal wall through relaxed or ruptured vaginal fascia and rectovaginal septum

24

who does PP mental health disorders affect?

-mother
baby
entire family

25

how does PP MH disorders affect PP

-interferes with attachment to newborn
-interferes with fam integration of the newborn
-threatens safety of mother, newborn, other children

26

what is the difference bx baby blues and PP depression

- 70% of women experience baby blues after birth
- PP depression causes mom inability ot care for herself, baby, other children

27

def PP depression w/o psychotic features

- an intense and pervasive sadness w/ severe and labile moods swings

28

tx for PP depression

antidepressants
anxiolytic agents
ECT
psychother

29

what are psychother foci

fears and concerns of new repsonsibilities and roles
monitoring for suicidal or homicidal thoughts

30

def PP depression w/ psychotic features

syndrome char by depression, delusions, hallucinations, and thoughts of harming infant or self

31

PP depression w/ psychotic features is considered a Psych emergency

true

32

tx options of PP depression w/ psychotic features

antipsychotics
mood stabilizers - lithium

33

when can loss and/or grief be perceived?

- loss of hoped for, dreamed about, planned
- loss of control during birth experience
-birth of child w/ handicap
-maternal or fetal/neonatal death

34

what is the most common and serious OB PP complcation

PP hemorrhage

35

t/f- hemorrhagic shock is considered an emergency

true

36

how does hemorrhagic shock affect the body?

- decr blood perfusion to body organs severely compromised
- death