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NUR 359: OB > PP Complications > Flashcards

PP Complications Flashcards

1
Q

define PP hemorrhage after vaginal birth

A

> 500 cc

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2
Q

define PP hemorrhage after c sec

A

> 1000 cc

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3
Q

what is the biggest problem with PP hemorrhage?

A
  • life threatening with little warning

- unrecognized until there are profound s/s

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4
Q

PP hemorrhage etiology/risk factors

A

-uterine atony
- lacerations of the genital tract
- hematoma’s
-retained placenta
adherent or non adherent
-inversion of the uterus
-subinvolution of the utrus

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5
Q

def inversion of the uterus

A

turning inside out of the uterus

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6
Q

s/s of subinvolution of the uterus

A
  • late PP bleeding
  • prolonged lochial discharge
  • irreg bleeding
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7
Q

PP hemorrhage assessment

A
  • early recognition critical

- eval contractility of the uterus

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8
Q

PP hemorrhage interventions

A
  • eval contractility of the uterus
  • firmly massage fundus
  • call for help STAT
  • admin IV fluids and meds to manage bleeding
  • may give pitocin to contract the uterus
  • try to get pain meds to mom
  • glove up
  • manually pull out placental residue
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9
Q

def thromboembolism

A

blood clot caused by inflammation or partial obstruction of bv

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10
Q

causes of thromboembolism

A

venous stasis

hypercoag

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11
Q

def Puerperal sepsis

A

any infec of the genital canal within 28 days after abortion or birth

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12
Q

what are the most common infec agents in PP infecs?

A

streptococcal

anaerobic

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13
Q

most common PP infecs

A
  • endometritis
  • wound infecs
  • UTI’s
  • mastitis
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14
Q

what is the difference bx engorgement and mastitis

A
  • engorgement may cause temp to go up a little, not a lot

- mastitis is infec of the breast

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15
Q

s/s of mastitis

A 
fever
weakness
engorgement
redness
swelling
discharge
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16
Q

can a mom breastfeed if she has mastitis

A

yes

17
Q

can a mom breastfeed out of the infected breast with mastitis

A

yes

18
Q

what common abx is used for the tx of mastitis

A

Lorabid

19
Q

can a mom nurse while on an abx for mastitis

A

yes

20
Q

disorders of uterus/vagina r/t childbearing

A
  • uterine displacement/prolapse

- urinary incontinence

21
Q

which is more serious: uterine displacement or prolapse?

A

prolapse

22
Q

def cystocele

A

protrusion of the bladder downward into the vagina when support structures in vescovaginal septum are injured

23
Q

def rectocele

A

herniation of the anterior rectal wall through relaxed or ruptured vaginal fascia and rectovaginal septum

24
Q

who does PP mental health disorders affect?

A

-mother
baby
entire family

25
Q

how does PP MH disorders affect PP

A
  • interferes with attachment to newborn
  • interferes with fam integration of the newborn
  • threatens safety of mother, newborn, other children
26
Q

what is the difference bx baby blues and PP depression

A
  • 70% of women experience baby blues after birth

- PP depression causes mom inability ot care for herself, baby, other children

27
Q

def PP depression w/o psychotic features

A
  • an intense and pervasive sadness w/ severe and labile moods swings
28
Q

tx for PP depression

A

antidepressants
anxiolytic agents
ECT
psychother

29
Q

what are psychother foci

A

fears and concerns of new repsonsibilities and roles

monitoring for suicidal or homicidal thoughts

30
Q

def PP depression w/ psychotic features

A

syndrome char by depression, delusions, hallucinations, and thoughts of harming infant or self

31
Q

PP depression w/ psychotic features is considered a Psych emergency

A

true

32
Q

tx options of PP depression w/ psychotic features

A

antipsychotics

mood stabilizers - lithium

33
Q

when can loss and/or grief be perceived?

A
  • loss of hoped for, dreamed about, planned
  • loss of control during birth experience
  • birth of child w/ handicap
  • maternal or fetal/neonatal death
34
Q

what is the most common and serious OB PP complcation

A

PP hemorrhage

35
Q

t/f- hemorrhagic shock is considered an emergency

A

true

36
Q

how does hemorrhagic shock affect the body?

A
  • decr blood perfusion to body organs severely compromised

- death

NUR 359: OB (15 decks)

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