Exemplar Face Sheet Exemplar Name ! Intrapartum Care (Vol. II pg. 1255-1325) Key Concept Link ! Reproduction Pathophysiology‚ etiology and direct and indirect causes in your own words Pathophysiology: Both mother and baby begin to prepare for birth in the final weeks of pregnancy. The mother is instructed to call the health care provider and come into the birthing unit if any of the following occur. Rupture of membranes‚ regular‚ frequent uterine contractions (nulliparas‚ 5 minutes
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with uterine atony. 2. To learn and improve our knowledge in giving nursing care to patient with postpartal hemorrhage. 3. To come up with health teaching necessary for patient with postpartal hemorrhage. Case Scenario: Mrs. Angela Simons‚ 36 years old‚ G8 P7‚ was rushed to the hospital because of active labor. She had a prolonged and difficult labor. During the first hour of her postpartum‚ she stated that "I was experiencing an excessive vaginal bleeding". Upon assessment‚ Mrs. Simons’ vitals
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the nurse to ascertain client stability merely by assessing the vaginal discharge and estimating amounts of vaginal blood loss. C) Uterine firmness. Feedback: CORRECT Pitocin is a hormone used to stimulate uterine contractions and prevent hemorrhage from the placental site. Prior to discontinuing the IV‚ it is most important to ensure that the uterus is contracting by assessing fundal firmness. D) Oral intake. Feedback: INCORRECT Assessment of oral fluid intake is important when determining
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preeclampsia is unknown but may be related to abnormal placentation. Obstetric Medicine Curriculum Learner Handout Preeclampsia (Page 1) PREECLAMPSIA Pathophysiology • • Preeclampsia most commonly presents in the second half of pregnancy. It is a multisystem disease associated with diffuse vasospasm and endothelial damage. Pathophysiology • Pathology demonstrates areas of endothelial swelling‚ edema‚ micro-infarctions and microhemorrhages in effected organs. Risk Factors • first pregnancy
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the pp period would suggest what? Late postpartum hemorrhage * What teaching do you give after administering a rubella vaccine? Patient should not get pregnant for one month following the vaccine * You assess a pp client 20 minutes after birth and discover that she has saturated her pad. Her fundus is slightly above the umbilicus but centered (not off to the side this time) and boggy. What will be your next action? Early postpartum hemorrhage. Massage uterus firmly and continuously
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without some assistance Excessive bleeding may cause anemia and fatigue related to insufficient hemoglobin. Signs of infection also include fatigue A short-lived peiod of depression accompanied by emotional fragility is common in the first few weeks postpartum. Continued depression needs further investigation Poor nutrition and dehydration add to feeling fatigue. Protein and vitamin C are needed for tissue regeneration after childbirth Patient will: Identify current stresses leading to ineffective
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Study Guide 6 – Friday‚ March 1st Know the 4 P’s Power – Uterine contractions and maternal pushing efforts (all about the mom’s labor and delivery powers) Problems with Power Hypotonic dysfunction – ineffective contractions‚ coordinated‚ infrequent contractions‚ brief‚ too weak‚ active phase‚ uterine wall is stretched and contracts poorly**‚ INDIVIDUALS AT RISK are multiparous women‚ over distention of the uterus such as multiples‚ over distended uterus that poorly contracts Hypertonic dysfunction
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disability often more important in treatment and prognosis Greatest risk for women who have had at least one of the following: A prior cardiac even or arrhythmia Think of my patient with Lupus and hx of MI who ended up dying two weeks postpartum NY Heart Assn functional Class II or greater Cyanosis Left heart obstruction Systematic ventricular dysfunction Estimated risk of cardiac event during pregnancy If they have: None of the above then risk is 5% One
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today. Preeclampsia is now the preferred term used by medical professions‚ to classify a group of symptoms that can occur during pregnancy and postpartum. The severity of the disorder is often misunderstood. In the next few pages‚ preeclampsia; also known as toxemia‚ will be discussed and explained in its entirety. The focus will be on the pathophysiology‚ nursing management‚ and community resources for those dealing with this disorder. There will also be three articles discussed and summarized.
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resolving or easing the problem? N/A for this week 2. Provide an example of an incident during clinical that reinforced the theory you have learned in OB lectures. An incident that reinforced what I have learned in lecture was the postpartum hemorrhage simulation. I learned how chaotic and overwhelming everything can be during an emergency‚ but also realized how important it is to have teamwork and a general game plan. It’s amazing how good teamwork allows things to go so smoothly. The entire
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