NURS473 OB Exam 3: Postpartum Hemorrhage

NURS473 OB Exam 3: Postpartum Hemorrhage

1. What is postpartum hemorrghage?: e 1,000 mL of blood loss within 24
hours of birth with s/s of hypovolemia
2. Primary PPH?: Within 24 hours after birth, caused by uterine atony
3. Secondary PPH?: 24hrs-12 wks after birth

Can be caused by: •Perineal lacerations
• Uterine Inversion
• Subinvolution
• Uterine rupture
4. S/S of Hypovolemic Shock?: Increased

CR Cool/Clammy extremities

Pale

Tach

y

Hypotension
5. What are the 5 T's:
Tone Tissue
Trauma
Thrombi
n
Traction
6. What can cause uterine atony (Tone)?: Overdistention, exhaustion,
relaxation, infection, uterine displacement?
7. What causes over distention:
Multiples Polyhydramnios
Macrosomia
8. What causes exhauastion?: Prolonged/Rapid labor

Oxytocin/Pitocin
9. What causes relaxation of the uterus?: Mag
sulfate Anesthesia
10.What can cause an infection?: Prolonged ROM
11.What can cause uterine displacement?: Distended bladder (full bladder
12.Tissue (PPH): Incomplete expulsion of placenta (retained placenta)
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, NURS473 OB Exam 3: Postpartum Hemorrhage


Placenta accreta spectrum?
13.Placenta accreta: Placenta is deeply embedded into the uterine wall




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