PPN 301: WEEK 5 - LABOUR AT RISK, 4TH TRIMESTER & EARLY POSTPARTUM| QUESTIONS
AND ANSWERS| LATEST UPDATE 100% SOLVED
common augmentation methods - oxytocin infusion
- amniotomy
- nipple stimulation
external cephalic version turning a breech baby to cephalic presentation through the
maternal abdominal wall
complications of external cephalic version - PROM
- changes in fetus heart rate
- placental abruption
- placenta previa
- cord prolapse
operative vaginal birth performed using either forceps or a vacuum extractor
operative vaginal birth: forceps-assisted birth indicated when the second stage of labour is
prolonged, abnormal FHR tracing, arrest of rotation or delivery of head in a breech presentation
operative vaginal birth: vacuum assisted indications similar to forceps delivery
,attachment of vacuum cup to fetal head using negative pressure to assist birth of head
caesarean birth Surgical procedure of delivering the baby by cutting through the abdominal
and uterine walls
Indications for C-section fetal distress, vaginal bleeding, slow progression of labor
TOLAC trial of labor after cesarean
postpartum changes & ongoing physical assessment B = breasts, nipples
U = uterine fundus
B = bladder function
B = bowel function
L = lochia
L = legs
E = episiotomy
E = emotional status
uterus postpartum assessment tone: firm, if its boggy massage,
height: fundal height, day post partum
location: midline, if not, catheterize or have her pee
, not midline: full bladder
Vagina postpartum takes complete 6 weeks to return to the pre-pregnant state
findings: edema, clean incision, hemorrhoids
bleeding postpartum - Activity
Clots
- Big clots need to go to physician
Fundal findings
- Firm, midline, relationship to umbilicus (want it to be shrinking down shouldn't be going up)
Source
- The open wound where the placenta was
postpartum hemorrhage >500ml (vag birth)
>1000ml (C/S)
- If boggy uterus, massage fundus
- elevate legs 20-30degrees to promote venous return
- give oxytocin, uterine stimulants : methylergonovine (Methergine -not for HTN pt),
Misoprostol (Cytotec), carboprost (Hemabate)
AND ANSWERS| LATEST UPDATE 100% SOLVED
common augmentation methods - oxytocin infusion
- amniotomy
- nipple stimulation
external cephalic version turning a breech baby to cephalic presentation through the
maternal abdominal wall
complications of external cephalic version - PROM
- changes in fetus heart rate
- placental abruption
- placenta previa
- cord prolapse
operative vaginal birth performed using either forceps or a vacuum extractor
operative vaginal birth: forceps-assisted birth indicated when the second stage of labour is
prolonged, abnormal FHR tracing, arrest of rotation or delivery of head in a breech presentation
operative vaginal birth: vacuum assisted indications similar to forceps delivery
,attachment of vacuum cup to fetal head using negative pressure to assist birth of head
caesarean birth Surgical procedure of delivering the baby by cutting through the abdominal
and uterine walls
Indications for C-section fetal distress, vaginal bleeding, slow progression of labor
TOLAC trial of labor after cesarean
postpartum changes & ongoing physical assessment B = breasts, nipples
U = uterine fundus
B = bladder function
B = bowel function
L = lochia
L = legs
E = episiotomy
E = emotional status
uterus postpartum assessment tone: firm, if its boggy massage,
height: fundal height, day post partum
location: midline, if not, catheterize or have her pee
, not midline: full bladder
Vagina postpartum takes complete 6 weeks to return to the pre-pregnant state
findings: edema, clean incision, hemorrhoids
bleeding postpartum - Activity
Clots
- Big clots need to go to physician
Fundal findings
- Firm, midline, relationship to umbilicus (want it to be shrinking down shouldn't be going up)
Source
- The open wound where the placenta was
postpartum hemorrhage >500ml (vag birth)
>1000ml (C/S)
- If boggy uterus, massage fundus
- elevate legs 20-30degrees to promote venous return
- give oxytocin, uterine stimulants : methylergonovine (Methergine -not for HTN pt),
Misoprostol (Cytotec), carboprost (Hemabate)
