NUR 2460C:Hemorrhage Sim work PC

NUR 2460C:Hemorrhage Sim work PC Questions for Placenta previa 1. What is the presenting symptom of a mother with placenta previa? - Sudden, bright red, painless bleeding from the vagina is the most common symptom, some women have cramps too. 2. Describe major or complete placenta previa. -Complete is when the placenta completely covers the top of the cervix and a C-section must be performed as vaginal delivery could result in death of the mother and/or fetus. 3. What self-care measures may the provider recommend to a pregnant woman with placenta previa? -No strenuous activity such as household chores, no heavy lifting or carrying of your older toddler children, no sexual activity and to take caution when traveling. No traveling on roads with lots of dips and potholes and to avoid public transportation if possible to control travel. Questions for postpartum hemorrhage 1. List common causes of postpartum hemorrhage. BOX 21-1 on page 531 • Uterine Atony - Overdistended uterus – large fetus, multiple pregnancy, hydramnios, distention with clots. - Retained placental fragments - Anesthesia and analgesia - Previous hx of uterine atony - Placenta previa - Placental abruption - Ruptured or inverted uterus - Gestational hypertension or preeclampsia - Having many previous births - Prolonged labor - Infection - And more on page 531