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10 Cards in this Set
- Front
- Back
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What are the 2 types of PP hemorrhage?
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Early & Late
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What is early PP hemorrhage primarily caused by? What are some other potential causes?
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Primary: Uterine atony
Other: Lacerations of genital tract, retained placental fragments, coagulation problems |
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What is the primary cause of late PP hemorrhage? When does this occur?
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Retained placental fragments.
Occurs after the first 24 hours post delivery. |
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What are nursing actions you should take PP in regards to hemorrhage?
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1. Regular fundus tone assessment
2. Regular assessment for lochia 3. VS q15 min or more for 1st hour 4. Orthostatic BP's 5. Monitor I&O 6. IV therapy & fluid replacement 7. Monitor H&H 8. Methergine (if Pitocin not working) |
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What is a last resort to stop hemorrhage before you have to do a hysterectomy?
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Bi-manual compression
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What are some conditions which can arise from "childbed fever"?
What is you main assessment indicator of an infection post childbirth? |
Localized infection
Endometritis Thrombophlebitis Mastitis UTI Main assessment indicator will be an increase in oral temp above 100.4 for two consecutive 24 hour periods (excluding the first 24 hr after birth) |
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Describe PP localized infection and the indicators for this condition.
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Localized infection involve infections of the episotomy, or lacerations to the perineum, vagina (also includes wound infection of the abdominal site for c-section)
Indications: - Red, tender skin edges - Edema - Purulent drainage - Localized pain - Temp spikes |
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What is endometritis and what ar ethe indicators of it?
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Endometritis = inflammation of the endometrium
Indicators: - Scant or profuse bloody & foul smelling discharge - Uterine tenderness - Irregular temp elevations - Tachy / chills - Sub-involution (uterus remains enlarged) |
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What is thrombophlebitis and the indicators of this condition?
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Inflammation of the lining of a blood vessel w/ formation of blood clots.
Indicators: - Positive homans sign - Redness, edema of lower extremity - Pain |
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What is mastitis, predisposing factor, and indicators of this condition?
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Infection of the breast
Predisposing factor = cracked nipples Indicators: - Localized pain - Swelling - Redness - Fever - Generalized flu like feeling |
