22 Questions
What is the MAIN cause of maternal mortality due to postpartum hemorrhage?
Uterine atony
Which of the following is a key diagnostic finding for late postpartum hemorrhage?
Prolonged clotting times
A patient presents with prolonged lochial discharge and a larger than normal, boggy uterus. What is the likely diagnosis?
Subinvolution of the uterus
Which of the following is a nursing intervention for postpartum hemorrhage?
Massage the uterus, facilitate voiding, and monitor blood loss
Which of the following is a risk factor for postpartum hemorrhage?
All of the above
What is the primary medical management for postpartum hemorrhage due to uterine atony?
Administer oxytocin or methylergonovine IV or IM
What is the mechanism of action of heparin sodium injection in the context of postpartum complications?
Blocks the conversion of prothrombin to thrombin
Which medication should be administered as a 'piggy back' infusion according to the text?
Heparin IV
Why is it advised to avoid estrogen or aspirin during anticoagulopathy treatment?
They interfere with hepatic synthesis of vitamin K-dependent clotting factors
What is the purpose of administering heparin SQ deep into the abdomen, as mentioned in the text?
To decrease the risk of hematoma formation
Why is it important to keep protamine sulfate readily available during heparin therapy?
To reverse the anticoagulant effects in case of overdose
What should be primarily assessed in a client receiving anticoagulants, as indicated in the text?
Coagulation studies
What is the main purpose of methergine?
Promotes uterine contraction
What is the recommended route of administration for methergine in emergency situations?
Intravenous
What is a key instruction regarding the preparation of methergine for administration?
Do not mix with any other drug
Which factor is NOT listed as a predisposing factor for puerperal infection?
Use of sterile delivery instruments
What nursing intervention is crucial for a patient with parametritis?
Enforce strict bed rest
Which sign/symptom is NOT typically associated with endometritis?
Excessive urination
What is a key diagnostic finding for thrombophlebitis?
Increased heart rate
'Payr's sign' is associated with which postpartum complication?
'Payr's sign' is associated with endometritis
'Rielander's sign' is a clinical indicator of which postpartum complication?
'Rielander's sign' indicates puerperal infection
'Warm or cool compresses' are commonly used in the treatment of which postpartum complication?
'Warm or cool compresses' are used for perineal infection
Test your knowledge on Methergine medication, which is used to promote uterine contraction and prevent postpartum or postabortion hemorrhage. Learn about administration, side effects, and important considerations for this medication.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
