Management of Uterine Atony Quiz
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Questions and Answers

Why is it important to keep the bladder empty during the early postpartal period?

  • To perform manual exploration of the uterine cavity
  • To measure blood loss accurately
  • To prevent interference with effective uterine contractions (correct)
  • To monitor vital signs accurately

    • What is the purpose of weighing perineal pads before and after use?

  • To perform manual exploration of the uterine cavity
  • To monitor vital signs accurately
  • To check for retained placental fragments
  • To measure the amount of blood loss accurately (correct)

    • What is the initial step in managing uterine atony?

  • Administer oxytocin
  • Manual exploration of the uterine cavity
  • Massaging the uterus gently (correct)
  • Blood transfusion and IVF

    • What is the significance of tachycardia and hypotension in the early postpartal period?

    <p>Significant vital sign changes in hemorrhage</p> Signup and view all the answers

    What is the purpose of bimanual uterine compression?

    <p>To compress the uterus through the abdomen and vagina</p> Signup and view all the answers

    What is the last resort in managing uterine atony?

    <p>Hysterectomy</p> Signup and view all the answers

    What is the definition of Small for Gestational Age (SGA) infant?

    <p>An infant whose birth weight is below the 10th percentile on an intrauterine growth curve</p> Signup and view all the answers

    What is a possible cause of intrauterine growth restriction or retardation (IUGR)?

    <p>Mother's poor nutrition during pregnancy</p> Signup and view all the answers

    What is a characteristic of SGA infants' appearance?

    <p>Below average in weight, length, and head circumference</p> Signup and view all the answers

    What is a nursing diagnosis for SGA infants?

    <p>Risk for impaired parenting related to child’s high-risk status and possible cognitive impairment from lack of nutrients</p> Signup and view all the answers

    What is an assessment tool used in prenatal care to detect SGA?

    <p>All of the above</p> Signup and view all the answers

    What is a possible complication of SGA due to small liver?

    <p>Difficulty regulating protein, glucose and bilirubin</p> Signup and view all the answers

    What is the primary reason why large hematomas are potentially dangerous?

    <p>They may rupture and cause severe bleeding and infection</p> Signup and view all the answers

    What is the purpose of applying ice packs wrapped in a towel to the woman?

    <p>To stop bleeding by vasoconstriction</p> Signup and view all the answers

    What is the general term used to describe infection of the genital tract after delivery?

    <p>Childbed fever</p> Signup and view all the answers

    What makes a newly delivered woman susceptible to infection?

    <p>Lowered resistance due to blood loss and fatigue</p> Signup and view all the answers

    Which of the following is a predisposing factor for infection?

    <p>All of the above</p> Signup and view all the answers

    What type of organism can cause infection in the genital tract after delivery?

    <p>Any of the above</p> Signup and view all the answers

    What is the purpose of placing a tube in the infant's trachea and suctioning as it is withdrawn?

    <p>To remove any blockages or secretions</p> Signup and view all the answers

    What is a potential complication of perinatal asphyxia?

    <p>Residual brain damage due to lack of oxygen</p> Signup and view all the answers

    What is a potential diagnosis for an infant of a diabetic mother?

    <p>Ineffective airway clearance</p> Signup and view all the answers

    What is a treatment option for an infant with perinatal asphyxia?

    <p>use of a breathing machine (ventilator)</p> Signup and view all the answers

    What is a common problem in infants of diabetic mothers?

    <p>All of the above</p> Signup and view all the answers

    Why may an infant be placed in the special care nursery or newborn intensive care unit?

    <p>For close observation</p> Signup and view all the answers

    What is the age range of children that parents should be cautious of regarding symptoms?

    <p>5-14 years old</p> Signup and view all the answers

    What is the drug of choice for eradication of streptococcus?

    <p>Penicillin</p> Signup and view all the answers

    What is the duration of secondary prophylaxis for children who have had rheumatic fever?

    <p>5 years or until age 21, whichever is longer</p> Signup and view all the answers

    Why is it important to conduct a thorough physical exam?

    <p>To note the child’s physical condition and observe for signs or symptoms</p> Signup and view all the answers

    What is the purpose of taking a complete and up-to-date history from the child and caregiver?

    <p>To determine the extent of the illness and obtain information about recent sore throat or upper respiratory infection</p> Signup and view all the answers

    What is the role of aspirin and corticosteroids in therapeutic management?

    <p>To reduce inflammation and alleviate pain</p> Signup and view all the answers

    Study Notes

    Uterine Atony Management

    • Massage the uterus gently when a relaxed and boggy uterus is palpated
    • Keep the bladder empty to facilitate effective uterine contractions
    • Monitor vital signs and blood loss during the early postpartal period
    • Weigh perineal pad before and after use to measure blood loss accurately
    • Check under the hips for pooled blood
    • Tachycardia (PR > 100) and hypotension are significant vital signs changes in hemorrhage
    • Administer oxytocin as ordered if sustained uterine contractions are not achieved by massage
    • Perform blood transfusion and IVF to replace blood loss
    • Conduct manual exploration of the uterine cavity, cervix, and vagina for retained placental fragments and laceration
    • Perform bimanual uterine compression if bleeding cannot be controlled
    • Hysterectomy is performed as a last resort if bleeding cannot be controlled

    Small for Gestational Age (SGA)

    • An infant is SGA if the birth weight is below the 10th percentile on an intrauterine growth curve for that age
    • SGA infants are small for their age due to intrauterine growth restriction or retardation (IUGR) or failed to grow at the expected rate in utero
    • Causes of SGA include mother's nutrition, placental anomaly, systemic diseases, smoking, and chromosomal abnormalities
    • Assessment of SGA includes fundic height, sonogram, biophysical profile, and ultrasound
    • Appearance of SGA infants includes below-average weight, length, and head circumference, wasted appearance, and small liver
    • Nursing diagnoses for SGA include ineffective breathing pattern, risk for ineffective thermoregulation, and risk for impaired parenting

    Hematomas

    • Large hematomas are potentially dangerous because they may rupture and cause severe bleeding and infection
    • Treatment for hematomas includes bringing the woman back to the DR for incision and ligation of bleeding vessels, analgesics for pain, application of ice packs, broad-spectrum antibiotics, and blood transfusion

    Puerperal Infection

    • Puerperal infection is a general term used to describe infection of the genital tract after delivery
    • Predisposing factors include prolonged labor, postpartum hemorrhage, anemia, retained placental fragments, intrauterine manipulation, and malnutrition
    • Infecting organisms include anaerobic streptococci, Escherichia coli, Chlamydia trachomatis, and Staphylococci
    • Assessment of puerperal infection includes the presence of infection elsewhere in the body or in the genital tract during labor, delivery, and puerperium

    Infant of Diabetic Mother

    • Effects of poor glycemic control in pregnant diabetic women include congenital abnormalities, macrosomia, birth trauma, perinatal asphyxia, RDS, hypoglycemia, and hyperbilirubinemia
    • Therapeutic management includes penicillin, erythromycin, anti-inflammatory agents, and secondary prophylaxis for 5 years or through age 21-25 years

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    Description

    Test your knowledge on managing uterine atony, including the first actions to take when a relaxed and boggy uterus is palpated, the importance of keeping the bladder empty, and monitoring vital signs and blood loss postpartum.

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