Unit 3: Nursing Care of the Postpartum Client Flashcards
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
Most common postpartum infection
Endometritis
Manifestation of Endometritis includes a temperature of more than _____
38 degrees Celsius
Typical laboratory finding of postpartum infections
Leukocytosis and Increased RBC sedimentation rate
Common postpartum infections that develop after when the woman is at home
Wound Infections
Major Cause of Death from Puerperal infection
Peritonitis
1st Symptom of Peritonitis
Rigid Abdomen
Drugs contraindicated for breastfeeding as it may cause neonatal jaundice
Sulfa Drugs
Veins Involved in Femoral Thrombophlebitis
Femoral
Saphenous
Popliteal
Phlegmasia Alba Dolens
Milk leg
INR for 24 hours in Femoral Thrombophlebitis
> 2
Antidote for Heparin
Protamine Sulfate
Antidote for Warfarin
Vitamin K
Veins involved in Pelvic Thrombophlebitis
Ovarian
Uterine
Hypogastric
Mastitis is caused by what bacteria?
Staphylococcus aureus
Timeframe for postpartal preeclampsia seizures
6-24 hrs after birth
Cardinal Symptoms of Pre eclampsia
Proteinuria
Edema
Increased BP
Medication administered for Pre eclampsia
MgSO4
Distinguishing feature of PPD
Irritability
Prominent feature of PPD
Rejection of the infant
Condition where woman appears exceptionally sad
Postpartal psychosis
Condition with self-limiting emotions
Postpartum blues
Condition with persistent mood of unhappiness
Postpartal Depression
