Unit 3 OB

Question 1

Boggy fundus and trickle bleeding

Answer 1

Massage fundus

Question 2

Uterine atony

Answer 2

Massage fundus and make sure bladder is empty

Question 3

Fundus off to R or L side and boggy

Answer 3

Take pt to bathroom or use a bed pan if unable to ambulate or use an in and out catheter if cannot go. Empty the bladder and massage fundus until firm

Question 4

Fundus firm and blood spurting

Answer 4

Signs of a cervical or perineal laceration

Question 5

S/S infant infection

Answer 5

Tachypnea
Poor feeding
Temp

Question 6

Mastitis

Answer 6

Could be due to bad latch causing lack of emptying breasts, cracked sore nipples, engorgement, warm sore breasts

Question 7

Diapraghm
Cervical cap
Contraceptive sponge

Answer 7

All need to be left in for a minimal of 6h after intercourse to full kill the sperm

Question 8

PPH

Answer 8

Postpartum hemorrhage caused by uterine Atony or improperly closed laceration

Question 9

Non breast feeding

Answer 9

Bind breasts for 72h
Use ice packs
Use chilled cabbage leaves
Avoid warmth
Do not express milk
Avoid baby rooting
Should be gone by 4-7 days

Question 10

Breastfeeding

Answer 10

Warmth
Feed baby often, may need to wake baby to feed
Make sure baby has a good latch
Colostrum for first 48h then turns to milk

Question 11

Carboprost

Answer 11

Give lomotil for diarrhea
Contraindicated for Asthma and HTN

Question 12

Methylergonovine

Answer 12

Contraindicated with Pre eclampsia and HTN

Question 13

Circumcision care

Answer 13

Petrolatum gauze for 24h
Apply generous amounts of petrolatum to each diaper for 7-10 days
Assess bleeding first hour every 15min then hourly for 4-6h
Apply sterile gauze if bleeding occurs
Document first void post procedure