Obstetric and Postpartum Hemorrhage
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Terms in this set (56)
,Question 1 of 63 • 750°mL
During a cesarean, the provider
communicates that the drapes have
been suctioned out prior to the
delivery of the placenta.
The nurse notes the suction canister
has 350 mL of blood-tinged fluid in
it. The nurse quickly switches to a
new suction canister prior to the
delivery of the placenta. As the
fascia is closed, the provider again
suctions the drape, and the nurse
notes 600 mL of blood in the new
canister.
Twenty sponges in 4 sponge
counter bags are weighed with a
total amount of 400 g. The nurse
knows the dry weight of 20 sponges
and 4 counter bags is 250 g.
What amount of quantitative blood
loss does the nurse record for this
birth?
Select an answer.
• 600 mL
1350 ml
• 750°mL
• 1100 mL
,Early nursing interventions in a • Massaging the fundus, emptying the bladder,
Stage 1 hemorrhage include: and quantifying blood loss
Select an answer.
• Administering uterotonics, drawing
labs, and moving to the OR
• Massaging the fundus, ambulating
the patient, and quantifying blood
loss
• Massaging the fundus, emptying
the bladder, and quantifying blood
loss
O Evaluating vital signs, assessing
for cervical lacerations, and
administering IV fluids
Ms. Diaz expels a grapefruit-sized • State that for a Stage 2 hemorrhage, the
clot. The nurse massages Ms. Diaz protocol recommends that the provider
fundus and informs the physician evaluates the patient and orders a uterotonic.
that the patient has entered Stage 2
of hemorrhage. The physician
states, "Let's just watch her over the
next hour."
What should the prudent nurse do?
Select an answer.
• State that for a Stage 2
hemorrhage, the protocol
recommends that the provider
evaluates the patient and orders a
uterotonic.
O Follow the physician's order, as it
is the physician's call, not the
nurse's.
• Tell the patient that the doctor
does not seem to think her
bleeding is concerning.
• Ask the senior nurse what to do,
and follow that advice.
, A hemorrhage risk assessment is 1. Upon admission
completed: 2. Throughout labor, as risk factors develop
3. Prior to birth
SATA
1. Upon admission
2. Throughout labor, as risk factors
develop
3. Prior to birth
4. Hourly in labor