PPH final 242 Flashcards
(12 cards)
What should the nurse do when a pt is having a PPH? (select all)
A-2 L bore IV’s
B-O2 nonrebreather at 10-15L
C-Bloodwork
D-Trendelenburg
E-Crossmatch blood
F-Telemonitoring
A
B
C
E
What should the nurse use to monitor during a PPH? (select all)
A-Continuous pulse ox
B-Telemetry
C-Elevate legs
D-Foley cath w/ urimeter
E-Weigh all blood saturated materials
F-Apply pneumatic stockings
G-T, P, R Q2hr
A
B
D
E
F
What are some risk factors for uterine atony? (select all)
A-Prolonged labor
B-Multiple gestation, large infant
C-Mechanical ROM
D-Forceps/vacuum
E-Uterine infection
A
B
D
E
Signs of placental separation
(Select all)
A-Gush of blood
B-Lengthening of the umbilical cord
C-Contractions return
D-Large blood clots expel
A
B
C
What would you expect is going on if a pt doesn’t respond to the usual measures to treat PPH or are oozing from puncture sites?
A-blood clot
B- thrombin
C- tear
D- placenta problem
B-Thrombin
What are the 4 T’s for a PPH?
Tone
Tissue
Trauma
Thrombin
Which infection is:
-Infection of the uterus
A-Cystitis
B-Mastitis
C-Endometritis
C
S/S of endometritis? (Select all)
A-Foul smelling lochia
B-Tender, enlarged uterus
C-Low-grade fever
D-Fever & malaise
A
B
D
What causes endometritis?
A-Manually removing retained placenta
B-Meconium stained fluid
C-Rupture of amniotic sac
D-Urinary retention post delivery
C
S/S of cystitis? (select all)
A-Dysuria
B-Anuria
C-Low-grade fever
D-Cloudy urine w/ odor
A
C
D
What are two treatments for mastitis?
A-Begin feed on the affected side
B-Do not feed from affected side
C-Have infants nose & chin pointing to affected area
D-Massage affected area to relieve pressure
A
C
What is the frequent initial sign of a uterine rupture?
A-Maternal tachycardia
B-Loss of contractions
C-Elevation of fetal presenting part
D-Fetal bradycardia
D
