Postpartum Complications Ch. 23

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What is the leading cause of maternal morbidity and mortality in the U.S.?

Hemorrhage
What medication should NOT be given as IV or to hypertensives who are experiencing uterine atony?

Methergine
What kind of hemorrhage has steady red bleeding and no clots?

Lacerations
Define the different types of placental fragments:

Placenta accreta
Placenta increta
Placenta percreta

PA - slight penetration of the myometrium

PI - deep penetration of the myometrium

PP - perforation of uterus by placenta
What nursing interventions are done for hemotomas less than 5cm vs greater than 5cm?

Less than 5cm - ice packs and analgesias

More than 5cm - surgery
What is the most common symptom for vulvar hematomas?

Pain
Why do you want to put your hand above the pubic bone while massaging a boggy uterus?

Because you could massage the uterus out of the vagina
What are the two main interventions to prevent hypovolemic shock?
- Restore blood volume
- Treat cause of hemorrhage
One way to suspect uterine subinvolution is to ask a mother if she is ___________
- Breastfeeding well
- **A non-contracting uterus prevents lactation
What is the most common meds used for uterine subinvolution?
- Methergine
- Antibiotics
What is the most important intervention for mastitis?

Can a mother breastfeed?

Bed rest

Yes if she takes antibiotics
In Von Willebrand Disease is a prolonged bleeding tendency that is deficient in _______

Factor VIII
What is the medication of choice for Von Willebrand disease?

Intranasal desmopressin
What oral therapy is given for DVT intervention?
How long do they have to take it?
- Warfarin
- 3 months

Author

wiscflor

48412

Card Set

Postpartum Complications Ch. 23

Description

PC23

Updated

2010-11-09T14:36:36Z

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