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Study Information for Test 1 2. What are raise the risk factors pertaining to uterine atony? Loss of uterine tone
Overdistention of the uterus (multiple gestation, polyhydramnios, macrosomia, fibroid tumors, distention with clots), bladder distention, grand multiparity, uterine trauma (forceps vacuum, c-section, cervical biopsy), bottle nourishing, length of labor (precipitous or prolonged), Hx of PPH, medications (anesthesia, recent tocolysis, magnesium sulfate, induction higher than 15 hours), abruptio placenta, placenta previa, infection, inversion of womb, placenta accrete , increta , percreta * Upon palpation you find that the client’s uterus is over a umbilicus and displaced towards the right, what is their nursing intervention? sk patient last time they voided. check for distention of the urinary (superpubic distention), encourage bladder control. teaching sufferer to try and emptiness q2h.
Ways to promote urination: hand underneath warm water, squirt bottle, standort bath, analgesic, warm bathtub. * How would you expect a pp client’s labs to change/ 1 . WBC Increase installment payments on your H&H Reduce 3. Platelets Stay Same * Glowing red blood loss of lochia rubra seven days or more into the pp period would suggest what? Late following birth hemorrhage What teaching do you really give following administering a rubella shot? Patient should not get pregnant for one month following a vaccine * You assess a pp client 20 minutes following birth and discover that this wounderful woman has saturated her pad. Her fundus is slightly above the umbilicus nevertheless centered (ofcourse not off to the side this time) and boggy. What will become your next actions? Early postpartum hemorrhage. Massage uterus firmly and continually until uterus becomes firm. Call for support (to inform physician).
Location flat with feet raised approximately 30 degrees. Vital signs, I&O. Medicine to contract womb may be required, IV, O2 10L through mask, Cath, prep pertaining to D&C, bimanual massage 2. How do you relief a Content C-section consumer of gas pains? Exactly what gas discomfort post-surgical identified as? Gas pains are described as pain in the stomach. abdomen distended and hard. To get tx promote ambulation for pain (medication will not effective) and offer warm beverages to promote peristalsis 2. Study the postpartum psychological phases.
Webpage 424 of book 5. Review following birth care of the Mexican-American female. Page 410 of book. * Exactly what are the signs of a cervical/high genitals laceration? Auswahl will remain organization, continuous spurting of bright red bloodstream * Examine risk for postpartum depression. Pg. 741 * Review signs and symptoms of PIH. * What treatments would be given intended for endometritis and what is the explanation? * Assessment care of the consumer with mastitis. * The mathematics will include all of the same type problems since last exam including a GTPAL.
G , number of occasions pregnant To , quantity of term births P , number of preterm births A , number of abortions (spontaneous and induced) L , number of living children 5. Know the 3 lochia types and time span for each. Rubra (red) days 1-4 Serosa (pink-brown) times 2-10 Samarie (white) times 11+ , 3-6 several weeks postpartum 5. Review teaching for the mother relating to uterine involution/ recovery and self-care actions for a fresh vaginal shipped client.
