Term
| DEFINE POSTPARTUM HEMORRHAGE |
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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. |
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Term
| WHAT IS THE CAUSE OF POSTPARTUM HEMORRHAGE? |
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Definition
| UTERINE ATONY, FAILURE OF THE UTERINE MUSCLE TO CONTRACT RESULTS TO BLEEDING. |
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Term
| WHAT ARE THE FACTORS THAT INCREASE THE RISK OF UTERINE ATONY? |
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Definition
| OVER DISTENTION OF THE UTERUS, MULTIPARA, LARGE BABIES |
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Term
| WHAT ARE THE MANIFESTATION OF UTERINE ATONY? |
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Definition
| "BOGGY FUNDUS", FUNDUS LOCATED ABOVE THE EXPECTED LEVEL, EXCESSIVE LOCHIA. FUNDUS THAT IS FIRM WHEN MASSAGED AND BECOMES BOGGY WHEN STOPPED. |
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Term
| WHAT ARE THE NURSING INTERVENTION FOR A "BOGGY" FUNDUS |
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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. |
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Term
| WHEN IS IT NOT APPROPRIATE TO GIVE METHERGINE? |
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Definition
| METHERGINE SHOULDN'T BE GIVEN TO A PATIENT WITH HIGH BLOOD PRESSURE |
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Term
| WHAT ARE THE NURSING INTERVENTIONS FOR HEMMORHAGE? |
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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. |
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Term
| WHAT IS THE COMMON CAUSE OF LATE POSTPARTUM HEMMORHAGE? |
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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. |
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Term
| WHAT ARE THE PHARMACOLOGIC INTERVENTION FOR POSTPARTUM HEMMORHAGE? |
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Definition
| OXYTOCIN, METHYLERGONOVINE OR PROSTAGLANDINS. |
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Term
| WHAT IS CONSIDERED AS HYPOVOLEMIC SHOCK IN POSTPARTUM? |
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Definition
| BLOOD LOSS GREATER THAN 1500 ML. |
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Term
| WHAT ARE THE SIGNS OF HYPOVOLEMIC SHOCK? |
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Definition
| TACHYCARDIA, TACHYPNEA, SKIN BECOMES PALE, COLD AND CLAMMY |
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Term
| WHAT ARE THE NURSING INTERVENTIONS FOR HYPOVOLEMIC SHOCK? |
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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 |
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Term
| WHAT ARE THE NURSING INTERVENTIONS WITH A PATIENT WITH SUPERFICIAL VENOUS THROMBOSIS? |
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Definition
| HEAT AND REST WITH LEG ELEVATED, ANALGESICS, APPLY TED HOSE, TEACH PATIENT TO AVOID STANDING FOR A LONG PERIOD OF TIME. |
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Term
| WHAT IS THE SIGN FOR DEEP VEIN THROMBOSIS? |
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Definition
| HOMAN SIGN IS POSITIVE (PAIN WHEN THE LEG IS DORSIFLEX) |
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Term
| WHAT IS THE THERAPEUTIC MANAGEMENT FOR DVT? |
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Definition
| PROPHYLACTIC HEPARIN. IT DOES NOT CROSS THE PLACENTAL BARRIER. |
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Term
| WHAT IS PUERPERAL INFECTION? |
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Definition
| TERM USED TO DESCRIBE BACTERIAL INFECTION AFTER CHILDBIRTH. MOST COMMON INFECTIONS ARE ENDOMETRITIS, WOUND INFECTIONS, URINARY TRACT INFECTIONS, MASTITIS AND SEPTIC PELVIC THROMBOPHLEBITIS. |
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Term
| WHAT IS THE MANIFESTATION OF PUERPERAL INFECTION? |
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Definition
| FEVER OF 38 C OR 100.4 F OR HIGHER FOR AT LEAST 2 DAYS OF THE FIRST DAYS 24 HOUR AFTER CHILDBIRTH. |
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Term
| WHAT ARE THE RISK FACTOS FOR PUERPERAL INFECTIONS? |
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Definition
| TRAUMA, C-SECTION, PROLONG LABOR, RAPTURE OF MEMBRANE, CATHETERIZATION, HEMORRHAGE. |
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Term
| WHAT ARE NURSING CONSIDERATIONS FOR A WOMAN WITH ENDOMETRITIS? |
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Definition
ASSESS TEMPERATURE FOR FEVER.
ANTIBIOTIC THERAPY
PLACE WOMAN ON FOWLER'S POSITION TO PROMOTE DRAINAGE OF LOCHIA.
FOODS HIGH IN VITAMIN C |
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Term
| WHAT ARE NURSING INTERVENTIONS FOR A WOMAN WITH WOUND INFECTIONS? |
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Definition
| SITZ BATH, PERINEAL CARE, WARM COMPRESS. GOOD HAND WASHING TECHNIQUES IS EMPHASIZED. |
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Term
| WHAT ARE MANIFESTATION OF URINARY TRACT INFECTIONS? |
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Definition
| FREQUENT URINATION, PAINFUL URINATION, SUPRAPUBIC PAIN |
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Term
| WHAT ARE NURSING CONSIDERATIONS FOR A WOMAN WITH URINARY TRACT INFECTIONS? |
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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. |
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Term
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Definition
| INFECTION OF THE BREAST, 2 TO 4 WEEKS AFTER BIRTH. |
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Term
| WHAT ARE THE MANIFESTATION OF MASTITIS? |
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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. |
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Term
| WHAT ARE NURSING INTERVENTIONS FOR MASTITIS? |
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Definition
AVOID NIPPLE TRAUMA
BREAST FEED OFTEN TO AVOID ABCESS
CORRECT POSITIONING TO AVOID NIPLLE TRAUMA. |
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Term
| WHAT IS SPONTANEOUS ABORTION? |
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Definition
| AN ABORTION IN THE FIRST 12 WEEKS OF PREGNANCY. FETAL DEATH OCCURS BEFORE SIGNS AND SYMPTOMS APPEARS. |
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Term
| WHAT IS THE MANIFESTATION FOR THREATENED ABORTION? |
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Definition
FIRST SIGNS IS BLEEDING "SPOTTING", CRAMPING AND BACKACHE.
CERVIX IS CLOSED AND BHCG LEVELS ARE HIGH |
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Term
| WHAT ARE THE SIGNS AND SYMPTOMS OF POSTPARTUM DEPRESSION? |
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Definition
| FEELING OF GUILT, ANXIETY, AGITATION, FATIGUE, FEELING UNWELL, IRRITABILITY, APPETITE CHANGES, LACK OF ENERGY, CRYING AND SADNESS. |
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Term
| WHEN DOES POSTPARTUM USUALLY STARTS? |
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Definition
| STARTS ON THE FIRST 2 WEEKS TO 3 MONTHS AND LAST FOR AT LEAST 12 MONTHS |
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