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Nursing · NCLEX-RN · Healthcare and Nursing

Nursing: Postpartum and Newborn Care

Postpartum hemorrhage risk, involution assessment, and newborn transition-to-extrauterine-life care priorities.

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35 basic cards for NCLEX-RN Nursing. Set 4 of 5 in Nursing. It opens with "What is the definition of postpartum hemorrhage (PPH) after a vaginal birth?" and "What is the definition of postpartum hemorrhage (PPH) after a cesarean birth?". Study it alongside the other NCLEX-RN sets below.

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What is the definition of postpartum hemorrhage (PPH) after a vaginal birth?
Show answerBlood loss greater than 500 mL
What is the definition of postpartum hemorrhage (PPH) after a cesarean birth?
Show answerBlood loss greater than 1000 mL
What is the most common cause of postpartum hemorrhage?
Show answerUterine atony
What do the 4 T's of postpartum hemorrhage causes stand for?
Show answerTone, Trauma, Tissue, Thrombin
A nurse finds a postpartum client's fundus soft and boggy. What is the first action?
Show answerMassage the fundus
What is the first-line medication given to treat uterine atony?
Show answerOxytocin
Methylergonovine (Methergine) is contraindicated in clients with which condition?
Show answerHypertension
Carboprost (Hemabate) is contraindicated in clients with which condition?
Show answerAsthma
By what route can misoprostol be given to control postpartum hemorrhage?
Show answerRectally (also oral or sublingual)
Early postpartum hemorrhage occurs within what time frame after birth?
Show answerWithin the first 24 hours
Late postpartum hemorrhage occurs within what time frame?
Show answer24 hours to 6 weeks after birth
Retained placental fragments correspond to which of the 4 T's of PPH?
Show answerTissue
Why can heart rate rise before blood pressure drops during early postpartum hemorrhage?
Show answerPregnancy-related blood volume expansion masks early blood loss, so tachycardia appears before hypotension
What is uterine involution?
Show answerThe process of the uterus returning to its prepregnancy size and position after birth
Where is the fundus normally located immediately after birth?
Show answerAt the level of the umbilicus

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