Podcast
Questions and Answers
What is the blood loss threshold for diagnosing vaginal postpartum hemorrhage?
What is the blood loss threshold for diagnosing vaginal postpartum hemorrhage?
Which of the following is NOT a recognized cause of postpartum hemorrhage?
Which of the following is NOT a recognized cause of postpartum hemorrhage?
Which medication is commonly given intravenously after birth to stimulate uterine contractions?
Which medication is commonly given intravenously after birth to stimulate uterine contractions?
What should be done if a boggy fundus is detected during assessment?
What should be done if a boggy fundus is detected during assessment?
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Which factor would most likely increase the risk of postpartum hemorrhage due to an overdistended uterus?
Which factor would most likely increase the risk of postpartum hemorrhage due to an overdistended uterus?
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What indicates a poor latch while breastfeeding?
What indicates a poor latch while breastfeeding?
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What should formula feeding mothers specifically do to ensure proper care?
What should formula feeding mothers specifically do to ensure proper care?
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Which of the following is NOT a common symptom of mastitis?
Which of the following is NOT a common symptom of mastitis?
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How should a mother manage discomfort related to mastitis?
How should a mother manage discomfort related to mastitis?
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When experiencing mastitis, which nursing intervention is advisable?
When experiencing mastitis, which nursing intervention is advisable?
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Study Notes
Postpartum Hemorrhage
- Definition: Blood loss greater than 500mL (vaginal) or 1000mL (cesarean).
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Causes:
- Bladder distention
- Abnormal or prolonged labor
- Overdistended uterus
- Multiparity (five or more births)
- Use of oxytocin during labor
- Medications that relax the uterus
- Operative birth (e.g., Cesarean section)
- Low placental implantation
- Rapid labor
- Use of instruments (e.g., forceps, vacuum) during birth
- Prolonged or rapid labor
- Large infant (macrosomnia)
- Use of forceps or vacuum extractor
Fundal Assessment
- Expected finding: Midline and firm.
- Abnormal finding: Boggy/deviated fundus.
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Actions:
- Massage fundus
- Palpate bladder (if distended)
- Monitor bleeding and change pad as needed
- If bleeding persists, notify physician immediately
- Administer medications as needed (e.g., oxytocin, methylergonovine) to stimulate uterine contraction.
- Change the patient's pad frequently
- Change to a larger pad if needed
- Observe for any signs of infection
- Monitor vital signs regularly
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Description
This quiz covers key concepts related to postpartum hemorrhage including its definition, causes, and management strategies. Additionally, it addresses fundal assessment, expected findings, and actions to take for abnormal findings. Test your knowledge and understanding of these essential topics in maternal care.
