STUDY GUIDE COMPREHENSIVE REVIEW
◉ inversion of the uterus. Answer: retained placenta, uterine atony,
excessive fundal pressure, abnormally adherent placental tissue,
multiparity, fundal implantation of placenta, extreme traction
applied to umbilical cord, and leiomyomas (a benign uterine fibroid
tumor) are all risk factors for what
◉ inversion of the uterus. Answer: pain in lower abdomen suspect
what
◉ complete inversion of the uterus. Answer: 20 to 30 cm outside
introitus is what
◉ stop!. Answer: if inversion of uterus do you stop or continue
pitocin?
◉ terbutaline (brethine). Answer: what medication for inversion of
uterus?
◉ inversion of the uterus. Answer: cs needed for subsequent
pregnancies with what
,◉ 250 to 500. Answer: how many mL of blood for hematoma?
◉ pain. Answer: what is the sign of hematoma?
◉ lacerations/hematomas. Answer: cephalopelvic disporportion,
operative vaginal birth (forceps), precipitate birth, macrosomic
infants, prolonged pressure of fetal head, previous scarring,
nulliparous, red heads are risk factos for
◉ more than 24 hours and less than 6 weeks. Answer: what is time
frame for late or secondary pph
◉ subinvolution of uterus. Answer: what does late or secondary PPH
result in usually
◉ retained placental fragments and infection (endometritis).
Answer: risk factors for sub involution
◉ subinvolution. Answer: pelvic discomfort and backache are
subjective signs of what
◉ subinvolution. Answer: ergotrate, oxytocin, antibiotics, dilation
and curretage procedure used for what
,◉ 15 minutes. Answer: when does most placental separation occur?
◉ attempt to remove manually. Answer: if placenta not separated in
30 minutes, what will the health care providers do?
◉ retained placenta. Answer: partial separation of normal placenta,
entrapment of a partially or completely separated placenta,
excessive traction on umbilical cord, placental tissue that is
abnormally adherent, preterm births (20 to 24 weeks) risk factors
for what
◉ retained placenta. Answer: if oxytocics do not work, brethine
given before a D and C in what
◉ DVT. Answer: doppler ultrasound scanning, computed
tomography, and magnetic resonance imaging can detect what
◉ protamine sulfate. Answer: what is heparin antidote?
◉ 5-7. Answer: heparin is given continuous infusion for how many
days
◉ 3. Answer: warfarin is continued by the client for appx. how many
months
, ◉ pulmonary embolism. Answer: ventilation/perfusion lung scan,
chest radiographic study, radioisotope lung scan, and pulmonary
angiogram can find what
◉ pulmonary embolisms. Answer: alteplase (activase) and
streptokinase (streptase) are used for what
◉ DIC. Answer: unusual spontaneous bleeding from the client's gum
and nose (epistaxis) is a sign of what
◉ increased. Answer: fibrin split product levels would be
increased/decreased with DIC
◉ ITP (DIC). Answer: assist in preparing the client for a splenectomy
if _____ does not respond to medical management
◉ DIC. Answer: removal of dead fetus or placental abruption,
treatment of infection, preeclampsia, or eclampsia can all be causes
of what
◉ DIC. Answer: clotting in the body, but then abnormal bleeding is
what