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MCN (Theory) > Unit 3: Nursing Care of the Postpartum Client > Flashcards

Unit 3: Nursing Care of the Postpartum Client Flashcards

1
Q

The leading cause of postpartum death around the world

A

Post Partum Hemorrhage

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2
Q

Major Risk of Hemorrhage

A

Hypovolemic Shock

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3
Q

Main Reasons of Hemorrhage

A

Tone
Trauma
Tissue
Thrombin

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4
Q

Timeframe for Early Postpartum Hemorrhage

A

Within 24 hours of birth

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5
Q

Timeframe for Late Postpartum Hemorrhage

A

After 24 hours and within 6 weeks

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6
Q

The most common cause of Early Postpartum Hemorrhage

A

Uterine Atony

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7
Q

Uterine Atony, Lacerations, and Hematomas cause__________ Postpartum Hemorrhage

A

Early

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8
Q

Retention of placental fragments and Subinvolution of the uterus cause ______Postpartum Hemorrhage

A

Late

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9
Q

Counteracts tocolytic drugs

A

Calcium Gluconate

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10
Q

Amount of O2 administered during respiratory distress in uterine atony

A

10-12L/min

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11
Q

If the uterus is firm but bleeding still exists suspect a ________

A

Laceration

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12
Q

3 Types of Lacerations

A

Cervical
Vaginal
Perineal

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13
Q

Degree of Laceration involving vaginal mucous membrane and skin of the perineum to the fourchette

A

1st Degree

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14
Q

Degree of Laceration involving vagina, perineal skin, fascia, levator ani muscle, and perineal body

A

2nd Degree

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15
Q

Degree of Laceration involving entire perineum, and external sphincter of the rectum

A

3rd Degree

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16
Q

Degree of Laceration involving entire perineum, rectal sphincter, and mucous membrane of the rectum

A

4th Degree

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17
Q

A ____ Placental fragment will cause apparent bleeding in the immediate postpartal period

A

Large

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18
Q

A small Placental fragment may not be detected until postpartum day __ - ___

A

6-10

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19
Q

Medication prescribed to destroy retained placenta

A

Methotrexate

20
Q

DIC (Disseminated intravascular coagulation) is aka _____

A

Consumptive Coagulopathy

21
Q

Primary medical management in all cases of DIC

A

Treatment of underlying disorder

22
Q

Administered before replacing prolapsed uterus

A

Tocolytics or Halogenated Anesthetics

23
Q

Administered after repositioning prolapsed uterus

A

Oxytocic Agents

24
Q

Administered orally for Subinvolution

A

Methylergonovine

25
Q

Most common postpartum infection

A

Endometritis

26
Q

Manifestation of Endometritis includes a temperature of more than _____

A

38 degrees Celsius

27
Q

Typical laboratory finding of postpartum infections

A

Leukocytosis and Increased RBC sedimentation rate

28
Q

Common postpartum infections that develop after when the woman is at home

A

Wound Infections

29
Q

Major Cause of Death from Puerperal infection

A

Peritonitis

30
Q

1st Symptom of Peritonitis

A

Rigid Abdomen

31
Q

Drugs contraindicated for breastfeeding as it may cause neonatal jaundice

A

Sulfa Drugs

32
Q

Veins Involved in Femoral Thrombophlebitis

A

Femoral
Saphenous
Popliteal

33
Q

Phlegmasia Alba Dolens

A

Milk leg

34
Q

INR for 24 hours in Femoral Thrombophlebitis

A

> 2

35
Q

Antidote for Heparin

A

Protamine Sulfate

36
Q

Antidote for Warfarin

A

Vitamin K

37
Q

Veins involved in Pelvic Thrombophlebitis

A

Ovarian
Uterine
Hypogastric

38
Q

Mastitis is caused by what bacteria?

A

Staphylococcus aureus

39
Q

Timeframe for postpartal preeclampsia seizures

A

6-24 hrs after birth

40
Q

Cardinal Symptoms of Pre eclampsia

A

Proteinuria
Edema
Increased BP

41
Q

Medication administered for Pre eclampsia

A

MgSO4

42
Q

Distinguishing feature of PPD

A

Irritability

43
Q

Prominent feature of PPD

A

Rejection of the infant

44
Q

Condition where woman appears exceptionally sad

A

Postpartal psychosis

45
Q

Condition with self-limiting emotions

A

Postpartum blues

46
Q

Condition with persistent mood of unhappiness

A

Postpartal Depression

MCN (Theory) (8 decks)

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