Maternal Child Nursing Care Chapter 23

Front 1

Loss of 500 ml or more of blood after vaginal birth or 1000 ml or more after cesarean birth

Back 1

Postpartum hemorrhage (PPH)

Front 2

Excessive blood loss that occurs within 24 hours after birth and is most often caused by marked uterine hypotonia

Back 2

Early (acute primary) PPH

Front 3

Blood loss that occurs more than 24 hours after birth but less that 6 weeks after the birth

Back 3

Late (secondary) PPH

Front 4

Marked hypotonia of the uterus; the uterus fails to contract well or maintain contraction

Back 4

Uterine atony

Front 5

collection of blood in the connective tissue as a result of blood vessel damage. __________ are the most common type

Back 5

Pelvic hematoma; vulvar hematomas

Front 6

_________ are usually associated with a forceps-assisted birth, an episiotomy or primigravidity.

Back 6

vaginal hematomas

Front 7

Unusual placental adherence in which there is slight penetration of the myometrium by placental trophoblast.

Back 7

placenta accreta

Front 8

Unusual placental adherence in which there is deep penetration of the myometrium by the placenta

Back 8

placenta increta

Front 9

Unusual placental adherence in which there is penetration of the uterus by the placenta

Back 9

placenta percreta

Front 10

Turning of the uterus inside out after birth.

Back 10

inversion

Front 11

Delayed return of the enlarged uterus to normal size and function.

Back 11

Subinvolution

Front 12

Emergency situation in which profuse blood loss (hemorrhage) can result in severely compromised perfusion of body organs. Death may occur.

Back 12

Hemorrhagic (hypovolemic) shock

Front 13

Coagulopathy resulting from an autoimmune disorder in which antiplatelet antibodies decrease the life span of the platelets.

Back 13

Idiopathis thrombocytopenic purpura

Front 14

Type of hemophilia; it is among the most common congenital clotting defects in North American women of child bearing age.

Back 14

von willebrand disease

Front 15

Pathologic form of clotting that is diffuse and consumes large amounts of clotting factors

Back 15

disseminated intravascular coagulation

Front 16

formation of a blood clot or clots inside a blood vessel.

Back 16

thrombosis

Front 17

Inflammation of a vein with clot formation.

Back 17

Thrombophlebitis

Front 18

Clot involves the superficial saphenous venous system.

Back 18

superficial venous thrombosis

Front 19

_________ clot involvement can extend from the foot to the iliofemoral region.

Back 19

Deep vein thrombosis

Front 20

Complication occurring when part of blood clot dislodges and is carried to the pulmonary artery, where it occludes the vessel and obstructs blood flow to the lungs.

Back 20

pulmonary embolism

Front 21

clinical infection of the genital canal that occurs within 28 days after a miscarriage, induced abortion, or childbirth. In the U.S., it is defined as a temperature of 38C or more on 2 successive days of the first 10 postpartum days (not counting the first 24 hours after birth)

Back 21

Postpartum; puerperal infection

Front 22

Infection of the lining of the uterus; is the most common cause of postpartum infection and usually begins as a localized infection at the placental site.

Back 22

Endometritis

Front 23

Infection of the breast affecting approximately 2% to 10% of women, soon after childbirth, most of whom are first-time breast feeding mothers; it almost always is unilateral and develops well after lactation has been established.

Back 23

Mastitis

Front 24

downward displacement of the uterus, with degrees of displacement from mild to complete

Back 24

Uterine prolapse

Front 25

Protrusion of the bladder downward into the vagina that develops when supporting structures in the vesicovaginal septum are injured.

Back 25

Cystocele

Front 26

Herniation of the anterior rectal wall through the relaxed or ruptured vaginal facia and rectovaginal septum

Back 26

Rectocele

Front 27

Uncontrollable leakage of urine

Back 27

Urinary incontinence

Front 28

perforations between genital tract organs

Back 28

Fistula

Front 29

Perforations between the bladder and the genital tract

Back 29

vesicovaginal fistula

Front 30

Perforation between the urethra and the vagina

Back 30

rectovaginal fistula

Front 31

Perforation between the rectum or sigmoid colon and the vaginal

Back 31

rectovaginal fistula

Front 32

Device that can be inserted into the vagina for the purpose of supporting the uterus and holding it in the correct position

Back 32

pessary

Front 33

Surgical procedure used to repair large, symptomatic cystolceles

Back 33

Anterior colorrhaphy

Front 34

Surgical procedure used to repair large, symptomatic rectoceles

Back 34

posterior colorrhaphy

Front 35

Predominant classification of mental health disorders in the postpartum period.

Back 35

mood disorders

Front 36

An intense and pervasive sadness with severe and labile mood swings; it is more serious and persistent then postpartum blues. Intense fears, anger, anxiety, and despondency that persist past and the baby's first few weeks are not a normal part of postpartum blues

Back 36

postpartum depression

Front 37

Syndrome most often characterized by depression , delusions, and thoughts by the mother of harming either herself or her infant.

Back 37

postpartum psychosis

Front 38

A cluster of painful responses experienced by individuals coping with the death of someone with whom they had a close relationship, generally a relative or close friend.

Back 38

grief (bereavement)

Front 39

Grief response that occurs with reminders of the loss; typically happens on birthdays, death days, and anniversaries; at school events; during changes in the seasons; and during the time of year when the loss occurred.

Back 39

Bittersweet grief

Front 40

State the 2-fold focus of medical management of hemorrhagic shock

Back 40

Restore circulating blood volume to enhance perfusion of vital organs and treat the cause of the hemorrhage.

Front 41

Identify the priority nursing interventions for postpartum hemorrhage. Including the rationale for each intervention identified.

Back 41

1. cite interventions related to improving and monitoring tissue perfusion
2. treat the cause of the hemorrhage,
3. enhance healing
4. supporting the woman and her family
5. fostering maternal-infant attachment as appropriate
6. plan for discharge

Front 42

Identify measures found to be effective in preventing genital tract infection during postpartum period.

Back 42

good prenatal nutrition to control anemia and intrapartal hemorrhage, perineal hygiene, adherence to aseptic technique