Postpartum Hemorrhage: Understanding Uterine Atony
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Questions and Answers

What is the most common cause of postpartum hemorrhage?

  • Placental fragments
  • Disseminated intravascular coagulation
  • Uterine atony (correct)
  • Postpartum depression
  • Which of the following is a predisposing factor for uterine atony?

  • Multiple gestation (correct)
  • Placental abruption
  • Preeclampsia
  • Gestational diabetes
  • What is the primary nursing intervention for uterine atony?

  • Apply ice packs to the abdomen
  • Perform fundal massage (correct)
  • Encourage deep breathing exercises
  • Administer oxytocin
  • Which of the following complications is associated with the postpartum period?

    <p>Postpartum depression</p> Signup and view all the answers

    What is the primary cause of postpartum thrombophlebitis?

    <p>Decreased blood flow</p> Signup and view all the answers

    Which of the following is a risk factor for postpartum pulmonary embolism?

    <p>Prolonged bed rest</p> Signup and view all the answers

    What is the immediate action of Oxytocin when administered intravenously?

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

    What should be given as a second possibility if Oxytocin is not effective at maintaining tone?

    <p>Methylergonovine (Methergine)</p> Signup and view all the answers

    What is one of the primary causes of mortality associated with childbearing?

    <p>Postpartum hemorrhage</p> Signup and view all the answers

    What is the maximum blood loss considered normal for a vaginal birth?

    <p>500 ml</p> Signup and view all the answers

    What is the maximum blood loss considered normal for a cesarean section?

    <p>1000 ml</p> Signup and view all the answers

    What is the purpose of elevating the woman's lower extremities when dealing with postpartum hemorrhage?

    <p>To improve circulation to essential organs</p> Signup and view all the answers

    What is the infection of the endometrium known as?

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

    Which condition refers to the incomplete return of the uterus to its prepregnant size and shape?

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

    What causes a deficiency in clotting ability due to vascular injury?

    <p>Disseminated intravascular coagulation</p> Signup and view all the answers

    Which term refers to the collection of blood in the subcutaneous layer of tissue of the perineum?

    <p>Perineal hematomas</p> Signup and view all the answers

    What is the obstruction of the pulmonary artery by a blood clot called?

    <p>Pulmonary embolus</p> Signup and view all the answers

    Which infection involves inflammation with the formation of blood clots?

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

    What is the primary cause of cervical lacerations during childbirth?

    <p>Prolonged labor or rapid delivery</p> Signup and view all the answers

    What is the characteristic of a third-degree cervical laceration?

    <p>The laceration extends beyond the cervix into the vaginal fornices</p> Signup and view all the answers

    What is the primary concern with retained placental fragments?

    <p>Increased risk of postpartum hemorrhage</p> Signup and view all the answers

    What is the recommended treatment for a first-degree cervical laceration?

    <p>Dilation and curettage (D&amp;C)</p> Signup and view all the answers

    What is the primary distinguishing feature of cervical lacerations compared to other types of birth canal tears?

    <p>They are more likely to cause excessive bleeding</p> Signup and view all the answers

    What is the recommended treatment for retained placental fragments?

    <p>Both b and c</p> Signup and view all the answers

    What are the common symptoms associated with thrombophlebitis?

    <p>Pain, heat, and feeling of pressure</p> Signup and view all the answers

    Why should the skin over a clotted area not be massaged?

    <p>To avoid causing pulmonary or cerebral embolism</p> Signup and view all the answers

    What is the classification of thrombophlebitis based on the location of the veins involved?

    <p>SVD and DVT</p> Signup and view all the answers

    What factor contributes to the development of pelvic thrombophlebitis in the postpartum period?

    <p>Sluggish blood circulation</p> Signup and view all the answers

    What is a recommended therapeutic management strategy for individuals with preexistent obesity and pregnancy weight gain?

    <p>Total bedrest</p> Signup and view all the answers

    What type of veins are involved in femoral thrombophlebitis?

    <p>Femoral, saphenous, or popliteal veins</p> Signup and view all the answers

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