40 Questions
What is the normal heart rate range for a postpartum mother?
50-70 BPM
How can you assess if a postpartum mother has hemorrhaged?
Check the perineum for odors in lochia
What is one way to prevent deep vein thrombosis (DVT) in a postpartum mother?
Inspect superficial vessels
What is the reason for assessing the extremities and pedal pulses of a postpartum mother?
To evaluate for deep vein thrombosis (DVT)
What is the normal voiding amount for a postpartum mother?
300 mL
What term is used to describe the return of reproductive organs to their non-pregnant state and function 6 weeks after delivery?
Involution
Which condition is characterized by a delayed return of the uterus to normal size and functioning, along with the discharge of lochia?
Subinvolution
What clinical sign may indicate subinvolution in postpartum mothers?
Excessive lochia with clots
Which factor can lead to subinvolution in the postpartum period?
Retained placental fragments in the uterus
What is the most common cause of excessive lochia in postpartum mothers?
Uterine atony
What is the first priority in managing postpartum hemorrhage?
Gently massaging the uterus
Which drug should be avoided if the patient has high blood pressure during postpartum hemorrhage management?
Methergine (Methylergonovine)
Which medication for postpartum hemorrhage management requires rectal administration?
Hemabate (Carboprost)
What is a distinguishing feature of hematoma related to postpartum hemorrhage?
Collection of blood in tissues
Which medication used for postpartum hemorrhage management can cause adverse effects like uterine rupture and anaphylaxis?
Hemabate (Carboprost)
What is a common manifestation of Placenta Previa?
Bright red bleeding (always visible)
Which factor is associated with Placenta Abruptio?
Physical trauma (abdominal trauma; MVC, fall, domestic abuse)
What are common manifestations of Placenta Abruptio?
Dark red bleeding and painful
Which type of hemorrhage is characterized by progressive late decelerations in fetal heart rate?
Postpartum Hemorrhage
Which condition is often accompanied by a hard board-like abdomen and high uterine baseline tone?
Postpartum Hemorrhage
Which clinical manifestation is characteristic of late hemorrhage in postpartum hemorrhage?
Falling BP, still tachycardic
Which condition is associated with DIC (disseminated intravascular coagulation) in obstetrics?
Placenta previa
What is a common sign of perinatal infections according to the text?
Bleeding gums
What aspect is assessed under the 'Partners' category when evaluating STI’s & HIV Risk Behaviors?
Sexual behavior practices
What is a distinguishing feature between placenta previa and placenta abruptio based on clinical manifestations?
Presence of pain
What is a key characteristic of postpartum depression?
Emotional instability and feelings of sadness
Which factor can contribute to an increase in afterpains for postpartum mothers?
Lactation
What is a common symptom associated with postpartum psychosis?
Delusions or hallucinations
Which phase of maternal postpartum adjustment involves dependency on others for basic needs?
Taking in
What can lead to postpartum hemorrhage?
Trauma during delivery
Which factor is NOT associated with an increased risk of developing preeclampsia?
Interpregnancy interval < 7 years
What is the pathophysiological mechanism contributing to decreased placental perfusion in preeclampsia?
Increased arterial vessel wall thickness in the uterus
Which condition is characterized by hemolysis, elevated liver enzymes, and low platelets?
HELLP Syndrome
What is the primary management strategy for mild preeclampsia?
Magnesium Sulfate Therapy
Which factor does NOT contribute to the pathophysiology of placental ischemia in preeclampsia?
Increased placental blood flow
What is the antidote for Magnesium Sulfate toxicity in the management of preeclampsia?
Calcium Gluconate
Which condition results in the release of a substance toxic to endothelial cells, leading to endothelial cell dysfunction in preeclampsia?
Antiphospholipid antibody syndrome
Which laboratory finding is characteristic of HELLP Syndrome?
Elevated liver enzymes
What is a key nursing intervention for a patient with mild preeclampsia?
Monitoring urine output, protein levels, and specific gravity.
What is a significant risk factor for developing preeclampsia?
Being of African descent.
Explore the key aspects of postpartum nursing care including genitourinary changes like frequent voids and urinary retention, musculoskeletal changes causing aches and pains, integumentary changes such as stretch marks and weight loss, and endocrine alterations due to pregnancy hormones.
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