Post Partum

Question 0

Uterine Involution rate

Answer 0

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

Question 1

Assessments for 1-2 hours after delivery

Answer 1

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

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

Question 2

EBL with NSVD

Answer 2

500 ml

Question 3

EBL with C-sec

Answer 3

1000ml

Question 4

Documentation of lochia

Scant

Answer 4

1” mark on pad

Question 5

Documentation of lochia

Moderate

Answer 5

5-6” on pad

Question 6

Documentation of lochia

Light

Answer 6

2-4” mark on pad

Question 7

Documentation of lochia

Heavy

Answer 7

Saturated pad

Question 8

When is Rhogam administered?

Answer 8

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

Question 9

Pp hemorrhage

Clinical findings

Answer 9

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

Question 10

Po hemorrhage

Etiology

Answer 10

Uterine Atony
Retained placenta
Laceration
Perineal hematoma

Question 11

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

Answer 11

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

Question 12

APGAR

5 scores

Answer 12

HR
Respiratory effort
Muscle tone
Irritability
Color

Question 13

Hemabate

Answer 13

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

Question 14

Methergine

Answer 14

Uterine stimulant

Arterial vasoconstrictor

Question 15

PP HR of >100 can mean what?

Answer 15

Infections or Hemorrhage.

Question 16

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

Answer 16

Pulmonary edema

Question 17

Increased risk of PPH

Answer 17

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