Postpartum Hematoma

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Study Tools For Postpartum Hematoma

Episiotomy – Evaluation of Healing (Mnemonic)
Vacuum Assisted Delivery (Image)
Forceps Assisted Delivery (Image)
Episiotomy (Image)
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Outline

Overview

  1. Localized collection of blood in loose connective tissue beneath the skin of the vagina or c-section incision

Nursing Points

General

  1. Occurs from trauma
  2. Most often in assisted deliveries (vacuum, forceps)

Assessment

  1. Pain, pressure
  2. Cannot void due to hematoma obstructing flow
  3. Apparent bulging area, skin discolored
  4. Decreasing H/H due to bleeding
  5. Signs and symptoms of hypovolemic shock
    1. Hypotension
    2. Tachycardia
    3. Febrile
    4. Pallor

Therapeutic Management

  1. Prepare to administer IVF, pain meds,  blood products
  2. Monitor I&O, vitals
  3. May need to insert foley if urinary obstruction has occurred
  4. Medical management:
    1. Watch and let reabsorb
    2. Surgically drain

Nursing Concepts

  1. Perfusion
  2. Clotting
  3. Skin Integrity

Patient Education

  1. Perineal care after episiotomy
  2. Cold packs to reduce hematoma and swelling
  3. Report pain that doesn’t go away with meds

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Concepts Covered:

  • Newborn Complications
  • Pregnancy Risks
  • Labor Complications
  • Medication Administration
  • Newborn Care
  • Prenatal Concepts
  • Labor and Delivery
  • Prenatal and Neonatal Growth and Development
  • Postpartum Complications
  • Postpartum Care
  • Fetal Development
  • EENT Disorders
  • EENT Disorders
  • Neurologic and Cognitive Disorders
  • Musculoskeletal Disorders
  • Immunological Disorders
  • Hematologic Disorders
  • Cardiovascular Disorders
  • Respiratory Disorders
  • Gastrointestinal Disorders
  • Shock
  • Noninfectious Respiratory Disorder
  • Cardiac Disorders
  • Studying
  • Infectious Disease Disorders
  • Renal Disorders
  • Renal and Urinary Disorders
  • Disorders of Pancreas
  • Integumentary Disorders

Study Plan Lessons

Nursing Care Plan (NCP) for Neonatal Jaundice | Hyperbilirubinemia
Preeclampsia (45 min)
Emergent Delivery (OB) (30 min)
Tips & Advice for Newborns (Neonatal IV Insertion)
Tips & Advice for Pediatric IV
Ectopic Pregnancy Case Study (30 min)
Antepartum Testing Case Study (45 min)
Labor Progression Case Study (45 min)
Nursing Care Plan (NCP) for Gestational Hypertension, Preeclampsia, Eclampsia
Growth and Development – Prenatal
Growth & Development – Neonate
HELLP Syndrome
Nutrition in Pregnancy
Antepartum Testing
Eye Prophylaxis for Newborn (Erythromycin)
Rh Immune Globulin (Rhogam)
Meds for PPH (postpartum hemorrhage)
Uterine Stimulants (Oxytocin, Pitocin)
Prostaglandins
Magnesium Sulfate
Betamethasone and Dexamethasone
Meconium Aspiration
Newborn of HIV+ Mother
Fetal Alcohol Syndrome (FAS)
Addicted Newborn
Erythroblastosis Fetalis
Hyperbilirubinemia (Jaundice)
Retinopathy of Prematurity (ROP)
Babies by Term
Newborn Reflexes
Body System Assessments
Newborn Physical Exam
Initial Care of the Newborn (APGAR)
Subinvolution
Mastitis
Postpartum Hemorrhage (PPH)
Postpartum Hematoma
Postpartum Discomforts
Postpartum Interventions
Postpartum Physiological Maternal Changes
Dystocia
Preterm Labor
Precipitous Labor
Abruptio Placentae (Placental abruption)
Placenta Previa
Prolapsed Umbilical Cord
Premature Rupture of the Membranes (PROM)
Obstetrical Procedures
Fetal Heart Monitoring (FHM)
Leopold Maneuvers
Mechanisms of Labor
Process of Labor
Fetal Circulation
Fetal Environment
Fetal Development
Fertilization and Implantation
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
Infections in Pregnancy
Hyperemesis Gravidarum
Hydatidiform Mole (Molar pregnancy)
Ectopic Pregnancy
Disseminated Intravascular Coagulation (DIC)
Cardiac (Heart) Disease in Pregnancy
Anemia in Pregnancy
Gestational Diabetes (GDM)
Conjunctivitis
Strabismus
Acute Otitis Media (AOM)
Cerebral Palsy (CP)
Hydrocephalus
Meningitis
Reye’s Syndrome
Spina Bifida – Neural Tube Defect (NTD)
Clubfoot
Scoliosis
Systemic Lupus Erythematosus (SLE)
Sickle Cell Anemia
Iron Deficiency Anemia
Congenital Heart Defects (CHD)
Vitals (VS) and Assessment
Cleft Lip and Palate
Celiac Disease
Intussusception
Cystic Fibrosis (CF)
Defects of Increased Pulmonary Blood Flow
Defects of Decreased Pulmonary Blood Flow
Obstructive Heart (Cardiac) Defects
Mixed (Cardiac) Heart Defects
Cyanotic Defects Nursing Mnemonic (The 4 T’s)
Pediatric Vital Signs (VS)
Shock
Nursing Care and Pathophysiology for Asthma
Asthma
Asthma management Nursing Mnemonic (ASTHMA)
Bacterial Endocarditis – Symptoms Nursing Mnemonic (Be Joan Of Arc)
Nursing Care and Pathophysiology for Valve Disorders
Rubeola – Measles
Mumps
Varicella – Chickenpox
Pertussis – Whooping Cough
Influenza – Flu
Bronchiolitis and Respiratory Syncytial Virus (RSV)
Pneumonia
Umbilical Hernia
Nursing Care and Pathophysiology of Glomerulonephritis
Nursing Care and Pathophysiology of Nephrotic Syndrome
Nephrotic Syndrome
Enuresis
Attention Deficit Hyperactivity Disorder (ADHD)
Autism Spectrum Disorders
Diabetes Mellitus & Those Dang Blood Sugars! – Live Tutoring Archive
Nursing Care Plan (NCP) for Diabetes Mellitus (DM)
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Diabetes Mellitus Type 1- Signs & Symptoms Nursing Mnemonic (The 3 P’s)
Burn Injuries
Eczema
Impetigo
Epispadias and Hypospadias