Unit 3: Nursing Care of the Postpartum Client Flashcards
(46 cards)
The leading cause of postpartum death around the world
Post Partum Hemorrhage
Major Risk of Hemorrhage
Hypovolemic Shock
Main Reasons of Hemorrhage
Tone
Trauma
Tissue
Thrombin
Timeframe for Early Postpartum Hemorrhage
Within 24 hours of birth
Timeframe for Late Postpartum Hemorrhage
After 24 hours and within 6 weeks
The most common cause of Early Postpartum Hemorrhage
Uterine Atony
Uterine Atony, Lacerations, and Hematomas cause__________ Postpartum Hemorrhage
Early
Retention of placental fragments and Subinvolution of the uterus cause ______Postpartum Hemorrhage
Late
Counteracts tocolytic drugs
Calcium Gluconate
Amount of O2 administered during respiratory distress in uterine atony
10-12L/min
If the uterus is firm but bleeding still exists suspect a ________
Laceration
3 Types of Lacerations
Cervical
Vaginal
Perineal
Degree of Laceration involving vaginal mucous membrane and skin of the perineum to the fourchette
1st Degree
Degree of Laceration involving vagina, perineal skin, fascia, levator ani muscle, and perineal body
2nd Degree
Degree of Laceration involving entire perineum, and external sphincter of the rectum
3rd Degree
Degree of Laceration involving entire perineum, rectal sphincter, and mucous membrane of the rectum
4th Degree
A ____ Placental fragment will cause apparent bleeding in the immediate postpartal period
Large
A small Placental fragment may not be detected until postpartum day __ - ___
6-10
Medication prescribed to destroy retained placenta
Methotrexate
DIC (Disseminated intravascular coagulation) is aka _____
Consumptive Coagulopathy
Primary medical management in all cases of DIC
Treatment of underlying disorder
Administered before replacing prolapsed uterus
Tocolytics or Halogenated Anesthetics
Administered after repositioning prolapsed uterus
Oxytocic Agents
Administered orally for Subinvolution
Methylergonovine
