High Risk Postpartal Client

Question 1

Blood loss from the uterus greater than 500 mL within 24 hr period

Answer 1

Postpartal Hemorrhage

Question 2

5 main causes for PH

Answer 2

Uterine atony
Laceration(vaginal and perineal)
Retained placental fragments
Uterine inversion
DIC

Question 3

Relaxation of the uterus

Answer 3

Uterine Atony

Question 4

If a uterus cannot remain contracted, IV infusion of …

Answer 4

Oxytocin (Pitocin)

Question 5

What are the 3 other meds if uterus cannot remain contracted with oxytocin

Answer 5

Carboprost tromethamine (Hemabate)
Methylergonovine maleate (Methergine)
Rectl Misoprostol

Question 6

May be repeated every 15 to 90 minutes up to 8 doses

Answer 6

Carbropost tromethamine (Hemabate)

Question 7

May be repeated every 2 to 4 hours up to 5 doses

Answer 7

Methylergonovine maleate (Methergine)

Question 8

A prostaglandin E1 analogue, may be administered rectally/ a last drug of choice

Answer 8

Rectal misoprostol

Question 9

The usual dosage of oxytocin per 1000mL of a ringers lactate solution

Answer 9

10 to 40 U

Question 10

Causes increased blood pressure

Answer 10

Methylergonovine

Question 11

Management of Uterine Atony

Answer 11

Bimanual massage
Porstaglandin administration
Blood replacement
Hysterectomy

Question 12

A placenta does not deliver in its entirety

Answer 12

Retained placental fragments

Question 13

Retained placental fragments can be detected by?

Answer 13

Ultrasound

Question 14

Having one or more accessory lobes of the placenta

Answer 14

Sucenturiateplacenta

Question 15

Performed to remove the placenta fragment

Answer 15

Dilatation and Curettage

Question 16

To destroy the retained placental tissue

Answer 16

Methotrexate

Question 17

Incomplete return of the uterus to its prepregnant size and shape

Answer 17

Subinvolution

Question 18

Infection of the reproductive tract

Answer 18

Puerperal infection

Question 19

Conditions that increase a woman’s risk for Postpartal Infection (5)

Answer 19

Rupture of the membrane
Retained placental fragments
Postpartal hemorrhage
Dysfunctional labor
Uterus is explored after birth

Question 20

Infections also are becoming more common

Answer 20

Escherichia coli. Staphylococcal

Question 21

Infections are the cause of toxic shock syndrome

Answer 21

Staphylococcal

Question 22

Infection of the endometrium, the lining of the uterus

Answer 22

Endometritis

Question 23

WBC counts is…

Answer 23

20,000 to 30,000

Question 24

Antibiotic in endometritis

Answer 24

Clindamycin

Question 25

Promotes pulling of gravity, to drain all product of concepcion and the blood

Answer 25

Fowler’s position

Question 26

Danger of endometritis is that it can lead to…

Answer 26

Tubal scarring and interference with future fertility

Question 27

Fertility assessment

Answer 27

Hyterosalpingogram

Question 28

Infections of the perineum, caused by laceration

Answer 28

Infection of the Perineum

Question 29

Inflammation of the lining of a blood vessel

Answer 29

Phlebitis

Question 30

Inflammation with the formation of blood clots

Answer 30

Thrombophlebitis

Question 31

Formerly called as “white inflammation”

Answer 31

Femoral Thrombophlebitis

Question 32

Pain in the calf of the leg on dorsiflexion of the foot

Answer 32

+ Homan’s sign

Question 33

The antidote to warfarin

Answer 33

Vitamin K

Question 34

Pregnant women cannot be given that can cause hemorrhage to the infant

Answer 34

Warfarin

Question 35

Different from postpartal blues
Depression is overwhelming sadness

Answer 35

Postpartal Depression

Question 36

Loss of contact with reality
Hallucinations to hurt the child

Answer 36

Postpartal Psychosis

Question 37

Antidepressant meds

Answer 37

Sertraline and Zoloft

Question 38

What type of medication for postpartal psychosis

Answer 38

Antipsychotic

Question 39

Common meds in the PH for postpartal psychosis (4)

Answer 39

Aripiprazole
Clozapine
Otanzipine
Risperidol