WITH ANSWERS GRADED A+
✔✔Why does magnesium sulfate treatment increase a woman's risk for PPH? - ✔✔It
causes the uterus to relax
✔✔What are the major things that will increase a woman's PPH risk at
birth/postpartum? - ✔✔Vacuum or forceps assisted birth
Cesarean birth
Retained placenta
✔✔Who is treated in stage 0 PPH guidelines? - ✔✔Every patient
✔✔What is done on admission in stage 0 PPH? - ✔✔A PPH risk assessment
✔✔Who gets active management during the 3rd stage of labor in stage 0 PPH? -
✔✔Every patient
✔✔What is meant by active management during the 3rd stage of labor? - ✔✔Every
patient is given IV oxytocin to help the uterus contract down
✔✔Who gets antepartum care and counseling in stage 0 PPH? - ✔✔Every patient
✔✔If a woman has low risk for PPH, what type of blood test is done in stage 0 PPH? -
✔✔A simple ABO blood type test
✔✔If a woman has medium risk for PPH, what type of blood test is done in stage 0
PPH? - ✔✔A more complex blood type screen and blood labs
✔✔If a woman has high risk for PPH, what type of blood test is done in stage 0 PPH? -
✔✔A complex blood type and crossmatch test to prepare for blood transfusion
✔✔How many units of blood are prepared in advance for high PPH risk moms in stage
0 PPH? - ✔✔2 units
✔✔Who is QBL done on in stage 0 PPH? - ✔✔Every patient
✔✔What happens in stage 1 PPH guidelines? - ✔✔The mother has given birth and is in
acute hemorrhage
✔✔How much blood must be lost during a vaginal birth to be considered stage 1 PPH?
- ✔✔Over 500 mL
, ✔✔How much blood must be lost during a caesarean birth to be considered stage 1
PPH? - ✔✔Over 1000 mL
✔✔What is the first and most important priority when a woman begins to hemorrhage? -
✔✔Stay by the patient and get help immediately
✔✔After getting help, what is the next most important priority when a woman begins to
hemorrhage? - ✔✔Apply interventions and try to determine the cause of the bleed
✔✔What should you be doing as you are questioning a woman who has begun to
hemorrhage? - ✔✔Giving a vigorous fundal massage
✔✔What is ALWAYS the key priority when a woman's uterus feels boggy? - ✔✔Giving
a vigorous fundal massage
✔✔What is the best way to empty a woman's bladder if she begins to hemorrhage after
birth? - ✔✔Straight catheter or possibly a Foley catheter
✔✔What should be given if a woman doesn't stop hemorrhaging after fundal massage
or medications? - ✔✔2 units of blood
✔✔What are uterotonics? - ✔✔Medications that cause the uterus to contract
✔✔What are the four main uterotonics? - ✔✔Cytotec
Pitocin
Methergine
Hemabate
✔✔What is the typical dose for Cytotec? - ✔✔800-1000 mcg
✔✔How is Cytotec given? - ✔✔Rectally via tablets
✔✔What are the major side effects of Cytotec? - ✔✔Nausea
Vomiting
Diarrhea
Fever
Shivering
Headache
✔✔How is Cytotec stored? - ✔✔At room temperature
✔✔What is the typical dose for Pitocin (Oxytocin)? - ✔✔30 units in 500 mL