PREP
316 SIMULATION: #4 PPH
QUESTIONS
Name: TRAN NGUYEN
Instructions: Use nursing textbooks and evidenced based research to
answer the questions listed below Students may bring OB
Course Level & Group: GROUP A2 medication flash cards.
ID #: 19NT09876
Required Readings: MATERNAL-NEWBORN NURSING: THE CRITICAL COMPONENTS OF NURSING CARE, 3rd Ed
*Chapter 12 pp. (pp366-382)
* Chapter 14 pp. (pp417-428)
ATI: Resources
Additional Texts:
* Nurse’s Drug Handbook (2021) 20th edition
Prep Questions
PART 1 Site references
1. What is the normal blood loss for a vaginal delivery & cesarean section?
Vaginal delivery blood loss: __500_______mL
Cesarean delivery blood loss: __1000_______mL
2. What are the four common causes (The 4 T's) for postpartum hemorrhage? Define the etiology of each and list
examples for each casue.
Cause
tone
Etiology and examples
Uterine atony
Retained placental fragments
tissue
S://2018StudentPrep 316 Sim #4 01/23/2020 updated 3rd Edition
Created LO/GO 4/26/18
This study source was downloaded by 100000791247403 from CourseHero.com on 07-27-2022 18:05:00 GMT -05:00
https://www.coursehero.com/file/130095780/316-Sim-Prep-4-Fatima-Sanago-05232021-2docx/
PREP
316 SIMULATION: #4 PPH
QUESTIONS
Lower genital track lacerations
trauma
Thrombin disorder
Disseminated intravascular coagulation
3. What are the objective and subjective signs and symptoms of hypovolemic shock?
Objective
Pale clammy skin
Tachycardia
Tachypnea
hypotension
Signs of hemorrhagic shock
Subjective
Shortness of breath
dyspnea
Part 2
4. List lab test that should be ordered and monitored closely during a postpartum hemorrhage?
Types and cross match 2 units RBCs
5. Describe the appropriate interventions for uterine atony. Review prenatal and intrapartum records for PPH
risk factors and closely monitor women who are at risk for uterine atony. Assess for a displaced uterus. Assess
for fundus. Assess for lochia. Review labs such as hemoglobin, hemocrit
S://2018StudentPrep 316 Sim #4 01/23/2020 updated 3rd Edition
Created LO/GO 4/26/18
This study source was downloaded by 100000791247403 from CourseHero.com on 07-27-2022 18:05:00 GMT -05:00
https://www.coursehero.com/file/130095780/316-Sim-Prep-4-Fatima-Sanago-05232021-2docx/
PREP
316 SIMULATION: #4 PPH
QUESTIONS
6. Discuss DIC in relation to postpartum hemorrhage (risk factors, clinical manifestations)
Risk factor: abruptior, HELLP, ananphylactoid syndrome of pregnancy, hemorrhage
Clinical manifestation: prolonged uncontrolled uterine bleeding. Bleeding from IV site, incision site, gums, and bladder.
Purpuric areas at pressure sites. Abnormal clotting. Increase anxiety
Medication Prep:
Medications to have prepared on medication cards prior to class:
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Butorphanol tartrate
Carboprost
Methylergonovine Maleate

Misoprostol
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


Ondansetron
Ibuprofen
Lactated Ringers
Oxytocin
S://2018StudentPrep 316 Sim #4 01/23/2020 updated 3rd Edition
Created LO/GO 4/26/18
This study source was downloaded by 100000791247403 from CourseHero.com on 07-27-2022 18:05:00 GMT -05:00
https://www.coursehero.com/file/130095780/316-Sim-Prep-4-Fatima-Sanago-05232021-2docx/
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