Exam (elaborations)
NUR 340 Exam 4 Questions And Correct Answers Graded A+
- Course
- Institution
NUR 340 Exam 4 Questions And Correct Answers Graded A+...
[Show more]
Content preview
NUR 340 Exam 4 Questions And CorrectAnswers Graded A+
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
Manifestation of shock due to blood loss: Mild, mod. severe shock, blood loss percent,
and the 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 are factors that increase the risk for PPH. These
include:
Polyhydramnios
Multifetal gestation
Macrosomia
Conditions include uterine muscle exhaustion
Abnormalities of uterine contractions are factors that increase the risk for PPH.
Conditions include:
Rapid labor
Prolonged labor
Oxytocin use
Conditions include uterine infection
Abnormalities of uterine contractions are factors that increase the risk for PPH.
Conditions include:
Maternal fever
Prolonged rupture of membranes
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Easton. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77988 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now