PM
NR 327 EXAM 1 REVIEW EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED GRADED A++
Terms in this set (704)
What percentage of PPH's are - 75%
preventable?
How many women are impacted by PPH? - 1 women in every 4 minutes
If a patient has a vaginal birth, what - > 500 mL EBL
estimated blood loss (EBL) indicates PPH
is occurring?
If a patient has a C-section birth, what - > 1,000 mL EBL
estimated blood loss (EBL) indicates PPH
is occurring?
What are the minutes s/s criteria for a dx - Saturation of a pad w/n 10 minutes indicates hemorrhage is occurring
of Hemorrhage is occurring?
What are the hour(s) s/s criteria for a dx - Saturation of a pad w/n 1 hour indicates hemorrhage is occurring
of Hemorrhage is occurring?
- Patient can become lightheaded
What LOC changes occur with a PPH?
- patient can experience syncope
What balance issues can a patient - Vertigo
with PPH experience?
What does syncope mean? temporary loss of consciousness caused by a fall in blood pressure
What occurs to the heart rate as a s/s of - Tachycardia (Pulse rate goes up)
PPH?
What can a patient experience as a s/s of - Hypovolemia
PPH?
What occurs to the BP as a s/s of PPH? - Hypotension (Decrease in BP)
What urinary s/s of PPH occurs as a s/s of - Oliguria
PPH?
What does Oliguria mean? Decreased urine output
What weight risk factors are associated w/ - Obesity
PPH that are r/t Antepartum?
What medical history risk factors - History of PPH
are associated w/ PPH that are r/t
Antepartum?
What does PPH Stand for? - Post partum hemorrhage
What circulatory risk factors - Chronic HTN or HTN in general
are associated w/ PPH that
are r/t Antepartum?
What Ethnicity is at a greater risk for - African Americans
PPH that are r/t Antepartum?
What gestational risk factors - Multiple Gestations (Multiple babies)
are associated w/ PPH that - Twins
are r/t Antepartum? - Triplets
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, 4/4/25, 6:06 NR 327 Exam 1 Review |
PM
What baby weight risk factors are - < 4,000 g babies (larger baby
associated w/ PPH that are r/t
Antepartum?
What is the term describing a baby that - Macrosomia
is greater than 4,000 g?
What type of adverse effects of - Lacerations
labor increases the risk of PPH
during the intrapartum stage?
- Precipitous labor
What type of pregnancy increases the risk
- C-sections too
of PPH during the intrapartum stage?
- Prolonged labors as well
Why does lacerations increase the risk of - b/c the perineal area can tear during pregnancy
PPH?
What type of medical intervention - episiotomy
(Procedure) increases the risk of PPH
during the intrapartum stage?
Why does episiotomy increase the risk for - b/c the doctor purposely cuts the perineal area to assist w/ vaginal labor
PPH?
How fast does a precipitous labor - typically w/n 3 hours
occur in?
Why does C-sections put the patient at - b/c the surgery involves cutting (DUH)
risk for PPH?
How does prolonged labors cause an - due to the body becoming used to or less sensitivity to Pitocin
increased risk for PPH?
What medication is given to a patient who - Pitocin
is having a prolonged body?
How long does a prolonged labor - > 3 days
have to occur in order to put the patient
at risk during the intrapartum stage?
What is the number one cause of a PPH? - A FULL BLADDER!
What is the second main cause of a PPH? - RETAINING PLACENTA FRAGMENTS IS NUMBER 2 CAUSE OF PPH
What placenta risk factors increase the - retaining the placenta fragments
risk for PPH in the postpartum stage?
What urinary risk factors increase the risk - Full bladder / Urinary Retention
for PPH in the postpartum stage?
Why can placenta fragments cause in - due to the placenta being very vascular
increase risk for PPH?
- Tone
- Trauma
What are the four T's of PPH?
- Tissue
- Thrombin
What Thrombin risk factors increase the - Coagulation abnormalities
risk for PPH?
What tissue risk factors increase the risk - Retained placenta tissues
for PPH? - Placenta (accreta, abruption)
What type of placenta occurrences risk - Accreta
factors increase the risk for PPH? - Abruption
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