Maternity Case 5: Fatime Sanogo (Exam 2) questions and answers 100% verified.

Maternity Case 5: Fatime Sanogo (Exam 2) questions and answers 100% verified. Which of the following factors places a pt at risk for postpartum hemorrhage? (SATA) a) Macrosomia b) Maternal Fever c) Preterm Birth d) Rapid labor e) Oxytocin - correct answers.a) Macrosomia b) Maternal Fever d) Rapid labor e) Oxytocin d, a and e use during labor all place additional stress on the uterine muscle and may lead to muscle fatigue and failure of the muscle ate effectively contract post-birth. Maternal fever indicating intrauterine infection may also impair the effectiveness of the uterine muscle to contract and control bleeding from the placental site. c is not a risk factor for postpartum hemorrhage. Which of the following is consistent w/ the definition of a major obstetric hemorrhage? a) Blood loss of 2000 mL (67.6 oz) after a cesarean birth b) Blood loss of 500-1000 mL (16.9-33.8 oz) c) Blood loss requiring transfusion if more than 5 units of blood d) Blood loss requiring transfusions of 2 units of blood - correct answers.c) Blood loss requiring transfusion if more than 5 units of blood Blood loss of more than 2500 mL (84.5 oz) or blood loss requiring more than 5 units of transfused blood. Postpartum hemorrhage is defines as blood loss of 500 mL after vaginal birth or 1000 mL after c-section, but a more objective definition of postpartum hemorrhage would be any amount of bleeding that places the mother in hemodynamic jeopardy. Which of the following are contraindications to the admin. of miso-rostov (Cytotec) for a tx of a postpartum hemorrhage? (SATA) a) Gastric ulcers b) Hep C c) EBL 1500 mL (50.7 oz) d) Asthma e) Grand multiparity - correct answers.b) Hep C d) Asthma Presence of pulmonary or hepatic disease is a contraindication for the use of prostaglandin meds. Following the admin of miso-rostov (Cytotec) for management of postpartum hemorrhage, which of the following is the priority nursing assessment? a) BP b) Uterine tone c) Urine output d) Pain scale rating - correct answers.b) Uterine tone Continuous contraction of the uterus is the goal of postpartum hemorrhage interventions, and miso-rostov is used to stimulate uterine contraction. Therefore, assessing uterine tone is the priority assessment to evaluate the effectiveness of this med. A pt is hemorrhagic after giving birth. When inspected, an area of the placenta was frayed. The provider suspects that placental fragments are retained within the uterus. What si the expected tx for this condition? a) Oxytocin (Pitocin) admin followed by carboprost tromethamine (Hemabate) admin b) Uterine inversion followed by miso-rostov (yYtotec) admin c) Uterine massage followed by methylergonovine maleate (Methergine) admin d) Evacuation of the uterus followed by oxytocin (Pitocin) admin - correct answers.d) Evacuation of the uterus followed by oxytocin (Pitocin) admin Evacuation of the retained tissue from the uterus is the first step. This is usually done manually by the provider. Then oxytocin is administered to help maintain uterine contraction. a and c will stimulate contraction of the uterus while the placental fragments are still inside. Uterine inversion is a medical complication, not an intervention. During the first 30-45 mins of a postpartum hemorrhage, which of the following is the best parameter to estimate the amount of blood loss? a) Increasing HR b) Change in the pt BP c) Lack of urine output d) Visual quantification of the amount of bleeding - correct answers.d) Visual quantification of the amount of bleeding Due to the increased blood volume of pregnancy, VS & urine output don't reflect bleeding until approximately 1800 mL (60.9 oz) of blood has been lost. Therefore, early estimates of the degree of blood loss are based on observation or on weighing pads to quantify blood loss. When performing the postpartum exam, the nurse finds the pt funds above the umbilicus and deviated to the right. What does the nurse know might be the cause of this finding? a) This is a normal finding in some women b) Retained placental tissue