ATI FINAL MATERNAL HEALTH EXAM 3 REVIEW

ATI FINAL MATERNAL HEALTH EXAM 3 REVIEW Postpartum Hemorrhage (PPH) • From delivery up to 6wks postpartum • SVD Spontaneous vaginal delivery: greater than 500ml (considered PPH) o Estimated blood loss o Quantitative blood loss (weighing everything) • CS C-Section: greater than 1000ml Two main reasons for PPH • Full bladder • Retained placenta What you will assess when you walk into a patient’s room for PPH 1. Assess Fundus -should always be right at umbilicus If it feels like your cheek: boggy; (massage it) Don’t stop unless it firms up 2. Call for help 3. Call Dr. 4. Meds 5. VS and O2 stat 6. Weigh under pads (add this amount of blood loss to what she lost at delivery 7. Change under pads 8. Empty bladder (foley) 9. Start 2nd IV; may need to give patient blood