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CHAPTER 28
THE WOMAN WITH POSTPARTUM COMPLICATIONS
29
Nursing
Undergraduate 1
03/30/2013

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Term
DEFINE POSTPARTUM HEMORRHAGE
Definition
POSTPARTUM HEMORRHAGE IS DEFINED AS BLOOD LOSS OF 500 ML AT VAGINAL BIRTH AND 1000 ML FOR C-SECTION.
A 10% HEMATOCRIT DROP FROM ADMISSION.
Term
WHAT IS THE CAUSE OF POSTPARTUM HEMORRHAGE?
Definition
UTERINE ATONY, FAILURE OF THE UTERINE MUSCLE TO CONTRACT RESULTS TO BLEEDING.
Term
WHAT ARE THE FACTORS THAT INCREASE THE RISK OF UTERINE ATONY?
Definition
OVER DISTENTION OF THE UTERUS, MULTIPARA, LARGE BABIES
Term
WHAT ARE THE MANIFESTATION OF UTERINE ATONY?
Definition
"BOGGY FUNDUS", FUNDUS LOCATED ABOVE THE EXPECTED LEVEL, EXCESSIVE LOCHIA. FUNDUS THAT IS FIRM WHEN MASSAGED AND BECOMES BOGGY WHEN STOPPED.
Term
WHAT ARE THE NURSING INTERVENTION FOR A "BOGGY" FUNDUS
Definition
MASSAGE UNTIL IT BECOMES FIRM.
IF THE FUNDUS BECOMES BOGGY AFTER MESSAGE IS STOP. MASSAGE THE FUNDUS AGAIN UNTIL IT BECOMES FIRM AND EXPELL CLOTS.
IF THE FUNDUS IS NOT MIDLINE, ASSIST THE PATIENT TO VOID.
ADMINISTER IV OXYTOCIN.
Term
WHEN IS IT NOT APPROPRIATE TO GIVE METHERGINE?
Definition
METHERGINE SHOULDN'T BE GIVEN TO A PATIENT WITH HIGH BLOOD PRESSURE
Term
WHAT ARE THE NURSING INTERVENTIONS FOR HEMMORHAGE?
Definition
IV REPLACEMENT FLUID WITH LR OR NORMAL SALINE, WHOLE BLOOD OR PACKED RED BLOOD CELLS. ASSESS FOR HYPOVOLEMIC SHOCK.
MAINTAIN URINE OUTPUT GREATER THAN 30ML/HR. 60ML/HR IS PREFERABLE.
Term
WHAT IS THE COMMON CAUSE OF LATE POSTPARTUM HEMMORHAGE?
Definition
THE COMMON CAUSE OF LATE POSTPARTUM HEMMORHAGE IS SUBINVOLUTION. IT IS A DELAYED RETURN OF OF THE UTERUS TO ITS NORMAL SIZE AND PLACENTAL FRAGMENT THAT REMAINS IN THE UTERUS.
Term
WHAT ARE THE PHARMACOLOGIC INTERVENTION FOR POSTPARTUM HEMMORHAGE?
Definition
OXYTOCIN, METHYLERGONOVINE OR PROSTAGLANDINS.
Term
WHAT IS CONSIDERED AS HYPOVOLEMIC SHOCK IN POSTPARTUM?
Definition
BLOOD LOSS GREATER THAN 1500 ML.
Term
WHAT ARE THE SIGNS OF HYPOVOLEMIC SHOCK?
Definition
TACHYCARDIA, TACHYPNEA, SKIN BECOMES PALE, COLD AND CLAMMY
Term
WHAT ARE THE NURSING INTERVENTIONS FOR HYPOVOLEMIC SHOCK?
Definition
ASSESS BLOOD PRESSURE AND PULS EVERY 3-5 MINUTES, ASSESS TEMPERATURE AND RESPIRATION. INSERT AN IV LINE WITH A LARGE BORE 14-18 GAUGE. INSERT A CATHETER TO MEASURE HOURLY URINE OUTPUT. LOCATION OF THE FUNDUS. PULSE OXIMETRY TO MEASURE LEVEL OF SATURATION
Term
WHAT ARE THE NURSING INTERVENTIONS WITH A PATIENT WITH SUPERFICIAL VENOUS THROMBOSIS?
Definition
HEAT AND REST WITH LEG ELEVATED, ANALGESICS, APPLY TED HOSE, TEACH PATIENT TO AVOID STANDING FOR A LONG PERIOD OF TIME.
Term
WHAT IS THE SIGN FOR DEEP VEIN THROMBOSIS?
Definition
HOMAN SIGN IS POSITIVE (PAIN WHEN THE LEG IS DORSIFLEX)
Term
WHAT IS THE THERAPEUTIC MANAGEMENT FOR DVT?
Definition
PROPHYLACTIC HEPARIN. IT DOES NOT CROSS THE PLACENTAL BARRIER.
Term
WHAT IS PUERPERAL INFECTION?
Definition
TERM USED TO DESCRIBE BACTERIAL INFECTION AFTER CHILDBIRTH. MOST COMMON INFECTIONS ARE ENDOMETRITIS, WOUND INFECTIONS, URINARY TRACT INFECTIONS, MASTITIS AND SEPTIC PELVIC THROMBOPHLEBITIS.
Term
WHAT IS THE MANIFESTATION OF PUERPERAL INFECTION?
Definition
FEVER OF 38 C OR 100.4 F OR HIGHER FOR AT LEAST 2 DAYS OF THE FIRST DAYS 24 HOUR AFTER CHILDBIRTH.
Term
WHAT ARE THE RISK FACTOS FOR PUERPERAL INFECTIONS?
Definition
TRAUMA, C-SECTION, PROLONG LABOR, RAPTURE OF MEMBRANE, CATHETERIZATION, HEMORRHAGE.
Term
WHAT ARE NURSING CONSIDERATIONS FOR A WOMAN WITH ENDOMETRITIS?
Definition
ASSESS TEMPERATURE FOR FEVER.
ANTIBIOTIC THERAPY
PLACE WOMAN ON FOWLER'S POSITION TO PROMOTE DRAINAGE OF LOCHIA.
FOODS HIGH IN VITAMIN C
Term
WHAT ARE NURSING INTERVENTIONS FOR A WOMAN WITH WOUND INFECTIONS?
Definition
SITZ BATH, PERINEAL CARE, WARM COMPRESS. GOOD HAND WASHING TECHNIQUES IS EMPHASIZED.
Term
WHAT ARE MANIFESTATION OF URINARY TRACT INFECTIONS?
Definition
FREQUENT URINATION, PAINFUL URINATION, SUPRAPUBIC PAIN
Term
WHAT ARE NURSING CONSIDERATIONS FOR A WOMAN WITH URINARY TRACT INFECTIONS?
Definition
DRINK FLUIDS AT LEAST 2500 TO 3000 ML TO FLUSH INFECTIONS FROM THE BLADDER.
ANTIBIOTIC THERAPY
DRINK FLUIDS THAT ARE ACIDIC BECAUSE IT INHIBITS MULTIPLICATION OF BACTERIA.
Term
WHAT IS MASTITIS
Definition
INFECTION OF THE BREAST, 2 TO 4 WEEKS AFTER BIRTH.
Term
WHAT ARE THE MANIFESTATION OF MASTITIS?
Definition
ENGORGEMENT OF THE BREAST
FLU LIKE SYMPTOMS WITH FATIGUE AND ACHING MUSCLES
FEVER GREATER THAN 38.4 OR 100.4
IT CUASED BY MILK STASIS
WEDGE SHAPED AREA THAT IS RED, EDEMATOUS, HOT AND PAINFUL.
Term
WHAT ARE NURSING INTERVENTIONS FOR MASTITIS?
Definition
AVOID NIPPLE TRAUMA
BREAST FEED OFTEN TO AVOID ABCESS
CORRECT POSITIONING TO AVOID NIPLLE TRAUMA.
Term
WHAT IS SPONTANEOUS ABORTION?
Definition
AN ABORTION IN THE FIRST 12 WEEKS OF PREGNANCY. FETAL DEATH OCCURS BEFORE SIGNS AND SYMPTOMS APPEARS.
Term
WHAT IS THE MANIFESTATION FOR THREATENED ABORTION?
Definition
FIRST SIGNS IS BLEEDING "SPOTTING", CRAMPING AND BACKACHE.
CERVIX IS CLOSED AND BHCG LEVELS ARE HIGH
Term
WHAT ARE THE SIGNS AND SYMPTOMS OF POSTPARTUM DEPRESSION?
Definition
FEELING OF GUILT, ANXIETY, AGITATION, FATIGUE, FEELING UNWELL, IRRITABILITY, APPETITE CHANGES, LACK OF ENERGY, CRYING AND SADNESS.
Term
WHEN DOES POSTPARTUM USUALLY STARTS?
Definition
STARTS ON THE FIRST 2 WEEKS TO 3 MONTHS AND LAST FOR AT LEAST 12 MONTHS
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