chapter 14 Davis Advantage for
Maternal-Newborn Nursing: Critical
Components of Nursing Care
Questions
and Answers 100% Correct
severe maternal morbidity (SMM)✔✔obstetric hemorrhage
infection
perinatal mood and anxiety disorders (PMADs)
hypertensive disorders of pregnancy
venous thromboembolism (VTE)
Risk Reduction for Postpartum Complications✔✔Review prenatal and intrapartum records
(anemia, long labor, operations)
assess for signs of complications w early identification
Assist w walking to decrease VTE
prevent over-distention of bladder=uterine atony, neurogenic bladder, cystitis
good hygiene
healthy diet
improve SMM by✔✔early opportunities to assess
coordination btwn teams
have a standardize approach to hemorrhage
excessive blood loss during childbirth is✔✔leading cause of maternal morbidity and mortality
-need a process for management and maintaining hemorrhage cart
-asses risk and measure all blood loss and provide education
, PPH✔✔postpartum hemorrhage
-500 ml or more for vaginal
-1000 ml or more for c section w 10% drop in hematocrit and hemoglobin
treat PPH✔✔1. resuscitation and management of hemorrhage an pot. shock
2. identify and manage underlying causes of bleeding
bc want to stop cellular death, fluid overload, acute resp distress and oxygen toxicity
hypovolemic shock s/s✔✔increasing pulse; cool, clammy skin; rapid breathing; restlessness; and
reduced urine output
hypovolemia s/s✔✔tachycardia, hypotension, tachypnea, low oxygen saturation (less than 95%),
oliguria, pallor, dizziness, or altered mental status
substantial blood loos symptoms✔✔hypotension, dizziness, pallor, and oliguria
causes of PPH✔✔-Tone: Uterine atony
• Tissue: Retained placental fragments
• Trauma: Lower genital tract lacerations
• Thrombin disorders: DIC
Uterine atony✔✔large child, high parity, rapid labor, fever, fibroids
-slow or profuse bleeding, large n boggy uterus, clots
-massage uterus or drugs, monitor blood, maintain fluid balance, monitor VS n labs, keep o2
nearby n pt warm
tissue✔✔-retained or abnormal placenta
Maternal-Newborn Nursing: Critical
Components of Nursing Care
Questions
and Answers 100% Correct
severe maternal morbidity (SMM)✔✔obstetric hemorrhage
infection
perinatal mood and anxiety disorders (PMADs)
hypertensive disorders of pregnancy
venous thromboembolism (VTE)
Risk Reduction for Postpartum Complications✔✔Review prenatal and intrapartum records
(anemia, long labor, operations)
assess for signs of complications w early identification
Assist w walking to decrease VTE
prevent over-distention of bladder=uterine atony, neurogenic bladder, cystitis
good hygiene
healthy diet
improve SMM by✔✔early opportunities to assess
coordination btwn teams
have a standardize approach to hemorrhage
excessive blood loss during childbirth is✔✔leading cause of maternal morbidity and mortality
-need a process for management and maintaining hemorrhage cart
-asses risk and measure all blood loss and provide education
, PPH✔✔postpartum hemorrhage
-500 ml or more for vaginal
-1000 ml or more for c section w 10% drop in hematocrit and hemoglobin
treat PPH✔✔1. resuscitation and management of hemorrhage an pot. shock
2. identify and manage underlying causes of bleeding
bc want to stop cellular death, fluid overload, acute resp distress and oxygen toxicity
hypovolemic shock s/s✔✔increasing pulse; cool, clammy skin; rapid breathing; restlessness; and
reduced urine output
hypovolemia s/s✔✔tachycardia, hypotension, tachypnea, low oxygen saturation (less than 95%),
oliguria, pallor, dizziness, or altered mental status
substantial blood loos symptoms✔✔hypotension, dizziness, pallor, and oliguria
causes of PPH✔✔-Tone: Uterine atony
• Tissue: Retained placental fragments
• Trauma: Lower genital tract lacerations
• Thrombin disorders: DIC
Uterine atony✔✔large child, high parity, rapid labor, fever, fibroids
-slow or profuse bleeding, large n boggy uterus, clots
-massage uterus or drugs, monitor blood, maintain fluid balance, monitor VS n labs, keep o2
nearby n pt warm
tissue✔✔-retained or abnormal placenta
