Show notes
rest of OB. GTPAL, Meds, Fetal HR monitoring
don't know how to get rid of that clicking sound at the end ... but here's a link to the hard file
something i said, that >1 pad / 15min = bad. this is very true. However, >1pad/hour should make the nurse concerned about post partum hemorrhage. So some facts below to help with differentiating test questions
Post-partum HEMORRHAGE
>500mL estimated blood loss on Vaginal birth is considered significant
>1000mL estimated blood loss on Cesarian birth is considered significant
steps to correct this include:
- assess and monitor for signs of HYPOVOLEMIC SHOCK and REMAIN WITH THE CLIENT
- massage the fundus if not firm and midline.
- notify the HCP
- administer stimulant meds described in podcast
When massaging the fundus, make sure to have one hand just above the pubis symphysis to support it while you press firmly massage the fundus
https://ia601500.us.archive.org/28/items/OBREVIEW_201704/OBREVIEW.pdf
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