1
Q
grading perineal lacerations
A
- 1st-degree: tear in surface of skin
- 2nd-degree: deeper, but not into muscle
- 3rd-degree: all the way through muscle and up to anal sphincter
- 4th-degree: through anal sphincter (can lead to fistula)
2
Q
blood loss during delivery
A
- vaginal: 500 mL
- C/S: 1 L
3
Q
postpartum fluid loss
A
- losing extra volume gained during PG
- diaphoresis
- diuresis (3000cc/day)
- blood loss during delivery
- don’t usually develop shock because 500-750 mL diverted back into system from placenta
4
Q
diastasis recti
A
- separation of the two halves of the rectus abdominis muscles in the midline at the linea alba
- may require surgical repair depending on severity
- benign in pregnant women
5
Q
REEDA
A
- assessment for episiotomy, laceration, or C/S incision
- redness
- edema
- ecchymosis
- discharge
- approximation
6
Q
EBL
A
estimated blood loss
7
Q
SVD
A
spontaneous vaginal delivery
8
Q
QBL
A
- quantitative blood loss
- zero scale with clean item, then weigh saturated item
- 1 g = 1 mL
9
Q
PPH
A
postpartum hemorrhage
10
Q
D&C
A
dilation and curettage
11
Q
hypovolemic shock Tx
A
- EARLY ID AND RAPID RESPONSE
- frequent assess: continuous VS, palpate fundus, check skin color, RR, etc.
- additional large-bore IV access
- bolus crystalloid fluid
- volume expanders
- blood product transfusion
- Trendelenberg position: helps perfuse brain, heart
12
Q
I&D
A
incision and drainage
13
Q
A
