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NUR 340 Exam 4 Questions And Correct Answers Graded A+ Latest Update
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NUR 340 Exam 4 Questions And CorrectAnswers Graded A+ Latest Update
Post partum hemorrhage - Answer -bleeding of more than 500 mL after vaginal deliver
-bleeding of more than 1000 mL after C-section
Major obstetric hemorrhage - Answer blood loss of more than 1500-2500 mL
or
bleeding that required more than 5 units of transfused blood
Primary postpartum hemorrhage - Answer occurs in the first 24 hours after delivery
Delayed postpartum hemorrhage - Answer blood loss that occurs 24 hours to 12 weeks
after birth
Signs and symptoms of hemorrhagic shock: mild, mod. severe shock, blood loss
percent, signs and symptoms - Answer Mild: 20%
-diaphoresis, inc. capillary refilling, cool extremities, maternal anxiety
Moderate: 20-40%
-Tachycardia, postural hypotension, oliguria
Severe: >40%
-hypotension, agitation/confusion, hemodynamic instability
4 T's and causes of postpartum hemorrhage - Answer -Tone: uterine atony, distended
bladder
,-Tissue: retained placenta and clots; uterine subinvolution
-Trauma: lacerations, hematoma, inversion, rupture
-Thrombin: coagulopathy (pre-existing or acquired)
Causes of subinvolution -Answer -retained placental fragments
-distended bladder
-excessive maternal activity prohibiting proper recover
-uterine myoma
-infections
Uterine inversion -Answer -when the top of the uterus collapses into the inner cavity
-due to excessive fundal pressure or pulling on the umbilical cord when the placenta is
still firmly attached to the fundus after the infant has been born
Thrombosis -Answer Formation of a blood clot
Complications associated with DIC - Answer -abruptio placentae
-amniotic fluid embolism
-intrauterine fetal death with prolonged retention of the fetus
-acute fatty liver of pregnancy
-severe preeclampsia
-HELLP syndrome
-septicemia
-postpartum hemorrhage
Clinical features of DIC - Answer -petechiae
-ecchymoses
,-bleeding gums
-fever
-hypotension
-acidosis
-hematomas
-tachycardia
-proteinuria
-uncontrolled bleeding during birth
-acute renal failure
Finding: displaced soft and boggy uterus
What's the cause? - Answer Distended bladder
Finding: Dark red bleeding mixed with clots
What's the cause? - Answer placenta fragments remaining
Finding: Firm midline uterus with stead stream or trickle of blood
What's the cause? - Answer Lacerations
Finding: Bulging area under skin surface
What's the cause? - Answer Hematoma
Finding: Petechia or ecchymoses
What's the cause? - Answer -thrombocytapenia purpura
*thrombin disorders in general
Finding: Bleeding from IV site, incision site, gums and/or bladder
, What's the cause? - Answer *thrombin disorders
-DIC
Finding: Prolonged, uncontrolled uterine bleeding
What's the cause? - Answer Thrombin disorders
Conditions associated with overdistention of uterus
Abnormalities of uterine contractions- Factors increasing risk for PPH - Answer Tone:
Polyhydramnios
Multifetal gestation
Macrosomia
Conditions associated with uterine muscle exhaustion
Abnormalities of uterine contractions- Factors increasing risk for PPH - Answer Tone:
Rapid labor
Prolonged labor
Oxytocin use
Conditions associated with uterine infection
Abnormalities of uterine contractions- Factors increasing risk for PPH - Answer Tone:
maternal fever
prolonged rupture of membranes
Conditions associated with products of conception
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