Latest NSG 210 OB (Answer Guide)
Terms in this set (49)
PPH Defined as blood loss of 1000 ml, may occur up to 6 weeks
postpartum
RF: subinvolution, retained placenta, multiparity, multiples,
hydramnios, precipitate or prolonged labor, use of
forceps/vacuum, c-section, meds (ex. oxytocin, tocolytics,
mag), uterine inversion, placenta previa, manually removed
placenta, DIC
S/S of PPH Boggy uterus, increased lochia/clots, steady flow of lochia,
low BP, tachycardia, inc. pain
Uterine atony inability of the uterus to contract effectively
s/s: difficult to locate, boggy, excessive lochia, firm when
massaged
Management: increase contraction of uterus, fluid
replacement
[2026] Page 1 of 14
, Latest NSG 210 OB (Answer Guide)
Subinvolution failure of the uterus to return to a non-pregnant state
caused by retained placental fragments and infection
Interventions for hemorrhage 1st step: evaluate contractility of uterus
firm massage of fundus, check bladder, fluids, meds
Placenta previa implantation of the placenta over the cervical opening or in
the lower region of the uterus
May be classified as complete, marginal, or low lying
May cause: excessive bleeding, hysterectomy, trauma,
preterm birth, congenital abnormalities
placenta previa risk factors Increased maternal age, multiple gestation, history of
placenta previa, uterine scarring/tumors, closely spaced
pregnancies, multiparity
S/S of placenta previa Painless vaginal bleeding, bright red, soft and non tender
uterus, malpresentation is common, elevated fundal height
[2026] Page 2 of 14
Terms in this set (49)
PPH Defined as blood loss of 1000 ml, may occur up to 6 weeks
postpartum
RF: subinvolution, retained placenta, multiparity, multiples,
hydramnios, precipitate or prolonged labor, use of
forceps/vacuum, c-section, meds (ex. oxytocin, tocolytics,
mag), uterine inversion, placenta previa, manually removed
placenta, DIC
S/S of PPH Boggy uterus, increased lochia/clots, steady flow of lochia,
low BP, tachycardia, inc. pain
Uterine atony inability of the uterus to contract effectively
s/s: difficult to locate, boggy, excessive lochia, firm when
massaged
Management: increase contraction of uterus, fluid
replacement
[2026] Page 1 of 14
, Latest NSG 210 OB (Answer Guide)
Subinvolution failure of the uterus to return to a non-pregnant state
caused by retained placental fragments and infection
Interventions for hemorrhage 1st step: evaluate contractility of uterus
firm massage of fundus, check bladder, fluids, meds
Placenta previa implantation of the placenta over the cervical opening or in
the lower region of the uterus
May be classified as complete, marginal, or low lying
May cause: excessive bleeding, hysterectomy, trauma,
preterm birth, congenital abnormalities
placenta previa risk factors Increased maternal age, multiple gestation, history of
placenta previa, uterine scarring/tumors, closely spaced
pregnancies, multiparity
S/S of placenta previa Painless vaginal bleeding, bright red, soft and non tender
uterus, malpresentation is common, elevated fundal height
[2026] Page 2 of 14
