1. Early hemorrhage
Answer
Occurs in the first 24 hrs
2. Causes of early hemorrhage
Answer
Uterine atony
Lacerations of genital tract
Retained placental fragments
Hematomas
3. Contributing factors to uterine atony
Answer
Overdistention of uterus
Dysfunctional labor
Oxytocin use
Anesthesia
4. Symptoms in the patient if she is hemorrhaging
Answer
1) Dizziness, heart flutters
2) Diaphoresis
3) Passing excessive clots & dark red blood
5. What should you be doing if the patient is bleeding more than normal?
Answer
-
, Count & weigh pads
6. What should be done for uterine atony?
Answer
Massage fundus until firm
7. Other interventions for uterine atony/PP hemorrhage
Answer
O2 Blood & fluids
Catheter
8. Why is a catheter inserted?
Answer
To prevent uterine distention, which can be a cause
9. Medications in hemorrhage
Answer
IV Oxytocin IM Methergine
These cause uterine contractions
10. What will you see with lacerations of the genital tract?
Answer
Continuous trickling of bright red blood and firm fundus
11. Why is it important to inspect the placenta for intactness after delivery?
Answer
-
Retained placental fragments can cause hemorrhage
12. What will be seen if the patient has a hematoma?
Answer
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