chapter 14 Davis Advantage for Maternal-Newborn Nursing:
Critical Comp nents of Nursing Care
Study online at https://quizlet.com/_ed8ni3
1. severe obstetric
maternal hemorrhage
morbidity infection
(SMM) perinatal mood and anxiety disorders
(PMADs) hypertensive disorders of
pregnancy
venous thromboembolism (VTE)
2. Risk Review prenatal and intrapartum records (anemia, long labor,
Reduction for operations) assess for signs of complications w early identification
Postpartum Assist w walking to decrease VTE
Complication prevent over-distention of bladder=uterine atony, neurogenic bladder,
s cystitis good hygiene
healthy diet
3. improve SMM by early opportunities to assess
coordination btwn teams
have a standardize approach to hemorrhage
4. excessive leading cause of maternal morbidity and mortality
blood loss -need a process for management and maintaining hemorrhage cart
during child- -asses risk and measure all blood loss and provide education
birth is
5. PPH postpartum hemorrhage
-500 ml or more for vaginal
-1000 ml or more for c section w 10% drop in hematocrit and
hemoglobin
6. 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
1/
17
, chapter 14 Davis Advantage for Maternal-Newborn Nursing:
Critical Comp nents of Nursing Care
Study online at https://quizlet.com/_ed8ni3
oxygen toxicity
7. hypovolem increasing pulse; cool, clammy skin; rapid breathing; restlessness; and
ic shock reduced urine output
s/s
2/
17
, chapter 14 Davis Advantage for Maternal-Newborn Nursing:
Critical Comp nents of Nursing Care
Study online at https://quizlet.com/_ed8ni3
8. hypovolemia s/s tachycardia, hypotension, tachypnea, low oxygen saturation (less than
95%), olig- uria, pallor, dizziness, or altered mental status
9. substantial hypotension, dizziness, pallor, and oliguria
blood loos
symptoms
10. causes of PPH -Tone: Uterine atony
• Tissue: Retained placental fragments
• Trauma: Lower genital tract lacerations
• Thrombin disorders: DIC
11. 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
12. tissue -retained or abnormal placenta
- uterus not resp to actions, remains larger, string tissue in blood
-call provider, monitor for shock s/s, administer o2 if needed
13. trauma lacerations or hematoma
(L)=firm uterus w bleeding w unclotted bright red blood=call provider,
evaluate, locate n repair, monitor VS n lochia, weigh blood
(H)=firm uterus, sudden painful perineal, bulging, hard time void or
sit= asses for pot hematoma, call provider, anticipate excision or
ligation of > 3 cm, consider catheter, continue monitor VS, blood loss,
fluids, provide pain management n ice
14. thrombin preeclampsia or stillbirth
disor- ders -disseminated intravascular coagulopathy (DIC), oozing from IV, nose
bleed, pe- techiae, bleeding gums, hypotension or shock s/s, abnormal
3/
17
Critical Comp nents of Nursing Care
Study online at https://quizlet.com/_ed8ni3
1. severe obstetric
maternal hemorrhage
morbidity infection
(SMM) perinatal mood and anxiety disorders
(PMADs) hypertensive disorders of
pregnancy
venous thromboembolism (VTE)
2. Risk Review prenatal and intrapartum records (anemia, long labor,
Reduction for operations) assess for signs of complications w early identification
Postpartum Assist w walking to decrease VTE
Complication prevent over-distention of bladder=uterine atony, neurogenic bladder,
s cystitis good hygiene
healthy diet
3. improve SMM by early opportunities to assess
coordination btwn teams
have a standardize approach to hemorrhage
4. excessive leading cause of maternal morbidity and mortality
blood loss -need a process for management and maintaining hemorrhage cart
during child- -asses risk and measure all blood loss and provide education
birth is
5. PPH postpartum hemorrhage
-500 ml or more for vaginal
-1000 ml or more for c section w 10% drop in hematocrit and
hemoglobin
6. 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
1/
17
, chapter 14 Davis Advantage for Maternal-Newborn Nursing:
Critical Comp nents of Nursing Care
Study online at https://quizlet.com/_ed8ni3
oxygen toxicity
7. hypovolem increasing pulse; cool, clammy skin; rapid breathing; restlessness; and
ic shock reduced urine output
s/s
2/
17
, chapter 14 Davis Advantage for Maternal-Newborn Nursing:
Critical Comp nents of Nursing Care
Study online at https://quizlet.com/_ed8ni3
8. hypovolemia s/s tachycardia, hypotension, tachypnea, low oxygen saturation (less than
95%), olig- uria, pallor, dizziness, or altered mental status
9. substantial hypotension, dizziness, pallor, and oliguria
blood loos
symptoms
10. causes of PPH -Tone: Uterine atony
• Tissue: Retained placental fragments
• Trauma: Lower genital tract lacerations
• Thrombin disorders: DIC
11. 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
12. tissue -retained or abnormal placenta
- uterus not resp to actions, remains larger, string tissue in blood
-call provider, monitor for shock s/s, administer o2 if needed
13. trauma lacerations or hematoma
(L)=firm uterus w bleeding w unclotted bright red blood=call provider,
evaluate, locate n repair, monitor VS n lochia, weigh blood
(H)=firm uterus, sudden painful perineal, bulging, hard time void or
sit= asses for pot hematoma, call provider, anticipate excision or
ligation of > 3 cm, consider catheter, continue monitor VS, blood loss,
fluids, provide pain management n ice
14. thrombin preeclampsia or stillbirth
disor- ders -disseminated intravascular coagulopathy (DIC), oozing from IV, nose
bleed, pe- techiae, bleeding gums, hypotension or shock s/s, abnormal
3/
17
