30 Questions
What is the most common cause of postpartum hemorrhage?
Uterine atony
Which of the following is a predisposing factor for uterine atony?
Multiple gestation
What is the primary nursing intervention for uterine atony?
Perform fundal massage
Which of the following complications is associated with the postpartum period?
Postpartum depression
What is the primary cause of postpartum thrombophlebitis?
Decreased blood flow
Which of the following is a risk factor for postpartum pulmonary embolism?
Prolonged bed rest
What is the immediate action of Oxytocin when administered intravenously?
Immediate
What should be given as a second possibility if Oxytocin is not effective at maintaining tone?
Methylergonovine (Methergine)
What is one of the primary causes of mortality associated with childbearing?
Postpartum hemorrhage
What is the maximum blood loss considered normal for a vaginal birth?
500 ml
What is the maximum blood loss considered normal for a cesarean section?
1000 ml
What is the purpose of elevating the woman's lower extremities when dealing with postpartum hemorrhage?
To improve circulation to essential organs
What is the infection of the endometrium known as?
Endometriosis
Which condition refers to the incomplete return of the uterus to its prepregnant size and shape?
Subinvolution
What causes a deficiency in clotting ability due to vascular injury?
Disseminated intravascular coagulation
Which term refers to the collection of blood in the subcutaneous layer of tissue of the perineum?
Perineal hematomas
What is the obstruction of the pulmonary artery by a blood clot called?
Pulmonary embolus
Which infection involves inflammation with the formation of blood clots?
Thrombophlebitis
What is the primary cause of cervical lacerations during childbirth?
Prolonged labor or rapid delivery
What is the characteristic of a third-degree cervical laceration?
The laceration extends beyond the cervix into the vaginal fornices
What is the primary concern with retained placental fragments?
Increased risk of postpartum hemorrhage
What is the recommended treatment for a first-degree cervical laceration?
Dilation and curettage (D&C)
What is the primary distinguishing feature of cervical lacerations compared to other types of birth canal tears?
They are more likely to cause excessive bleeding
What is the recommended treatment for retained placental fragments?
Both b and c
What are the common symptoms associated with thrombophlebitis?
Pain, heat, and feeling of pressure
Why should the skin over a clotted area not be massaged?
To avoid causing pulmonary or cerebral embolism
What is the classification of thrombophlebitis based on the location of the veins involved?
SVD and DVT
What factor contributes to the development of pelvic thrombophlebitis in the postpartum period?
Sluggish blood circulation
What is a recommended therapeutic management strategy for individuals with preexistent obesity and pregnancy weight gain?
Total bedrest
What type of veins are involved in femoral thrombophlebitis?
Femoral, saphenous, or popliteal veins
Learn about the common occurrence of postpartum hemorrhage, specifically focusing on uterine atony which occurs due to the relaxation of the uterus after childbirth. Explore the predisposing factors and reasons behind this condition.
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