PP complication voice over

Question 1

What is the sing of normal fundus?

Answer 1

Firm
Middle line
-at the level of umbilicus(after 12hr)

Question 2

If the fundus is displaced?

Answer 2

Empty the bladder!!
Because full bladder pushing fundus to the side

Question 3

If the fundus is boggy?

Answer 3

Massage till it is firm!!!

Question 4

PPH
Risk factor?

Answer 4

Uterine atony
Prolonged labor
Placenta fragments
Inversion of uterus

Question 5

Uterine atony?

Answer 5

1 cause of PPH

Soft and weak uterus that cannot contract strong enough=bleeding

Question 6

PPH
Expecting finds?

Answer 6

Pad saturation in 15 min
Tachycardiac
Pallor skin and ,mucous membranes
Cool, clammy

Question 7

PPH
Nursing care

Answer 7

Massage
Monitor VS
Evaluate legs

Question 8

First 24 hr PPH is causing what?

Answer 8

Uterine atony

Question 9

If the pt’s pad is saturated, what should do?

Answer 9

Ask her ho long she has had it on
Assess her fundus
massage her fundus if need

Question 10

Massage fundus and getting firm, but relax again soon as massage stop, why?

Answer 10

FULL BLADDER!!!!
retained placenta fragments
Macrosomia
Prolog labor

Question 11

What meds can administer for PPH?

Answer 11

Oxytocin
Methergin
Cytotec
Hemobate

Question 12

Methergin
contraindication

Answer 12

Hypertension patient

Question 13

Fundus is firm but still bleeding.
Why?

Answer 13

Lacerations of the genital tract
We cannot see actual blood but maybe inside=hematoma

Question 14

lacerations?

Answer 14

a deep cut or tear in skin

Question 15

lacerations
causes

Answer 15

Forceps deliver
Operative birth
Precipitous birth
3rd or 4th degree
Large baby
First-time mom

Question 16

lacerations
S/S

Answer 16

Continued bleeding with a firm fundus
Pain!!!
Pressure sensation in rectum

Question 17

lacerations
Treatment

Answer 17

Call provider ASA!!!
Repair of the laceration
Evacuating the hematoma

Question 18

PPH
assess for anemia(S/S)

Answer 18

Fatigue
Pallor
headache
Thirst
Orthostatic
貧血
赤血球の数が正常値より下回った状態

Question 19

Uterine atony
Risk factor

Answer 19

A full bladder is the #1 cause of uterine atony
Retained placental fragment
Prolonged labor
Magnesium sulfate took
Trauma during labor

Question 20

Late PPH is often caused by?

Answer 20

Subinvolution
The uterus does not return to its prepregnant size which is the risk for bleeding.

Question 21

What is Subinvolution?

Answer 21

Uterus remains enlarged
Continued lochia discharge
Cause late PPH

Question 22

Subinvolution
Cause

Answer 22

Uterus remains enlarged
Continued lochia discharge
pelvic infection

Question 23

Postpartum infections can lead?

Answer 23

PPH

Question 24

What is the most common PP infection? 2

Answer 24

Endometritis
Wound infections

Question 25

Infection
S/S

Answer 25

fever greater than 100.4
erythema
edema
warmth
tenderness
Pain

Question 26

DVT
S/S

Answer 26

Unilateral leg pain
Calf tenderness
Edema
Warmth

Question 27

What is the best advise for prevent DVT

Answer 27

Walk as soon as possible

Question 28

Pulmonary embolism
care

Answer 28

Elevating the head of the bed
Semi-fowler’s
oxygen
Pain meds, be careful as they can cause respiratory depression
Call the doctor immediately

Question 29

What is baby blues?

Answer 29

Mild and transient
Manifests around days 3-8
last a few hours or several weeks

Question 30

Inversion of the uterus

Answer 30

Tuning inside out of the uterus

Question 31

Baby blue

Answer 31

Manifests around days 3-8
ATI says after birth to 10 days
Last a few hours or several weeks.

Question 32

PP depression

Answer 32

Common at 3 weeks to 3 months
Sadness with no periods of happiness
Inability to function
Suicidal ideation

Question 33

PP psychosis

Answer 33

delusions
hallucinations
phobias
harm-self or harm baby