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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maternal OB

Concepts Covered:

  • Prenatal Concepts
  • Pregnancy Risks
  • Labor and Delivery
  • Studying
  • Postpartum Complications
  • Labor Complications
  • Postpartum Care
  • Medication Administration
  • Hematologic Disorders
  • Lower GI Disorders
  • Female Reproductive Disorders
  • Sexually Transmitted Infections
  • Vascular Disorders

Study Plan Lessons

Fundal Height Assessment for Nurses
Gestation & Nägele’s Rule: Estimating Due Dates
Gravidity and Parity (G&Ps, GTPAL)
Chorioamnionitis
Fetal Wellbeing Assessment Tests Nursing Mnemonic (ALONE)
Fundal Height Assessment for Nurses
Gravidity and Parity (G&Ps, GTPAL)
HELLP Syndrome
Hematomas in OB Nursing: Causes, Symptoms, and Nursing Care
Maternal Risk Factors
Nursing Care Plan (NCP) for Abortion, Spontaneous Abortion, Miscarriage
Nursing Care Plan (NCP) for Abruptio Placentae / Placental abruption
Nursing Care Plan (NCP) for Chorioamnionitis
Nursing Care Plan (NCP) for Dystocia
Nursing Care Plan (NCP) for Gestational Hypertension, Preeclampsia, Eclampsia
Nursing Care Plan (NCP) for Placenta Previa
Nursing Care Plan (NCP) for Postpartum Hemorrhage (PPH)
Nursing Care Plan (NCP) for Premature Rupture of Membranes (PROM) / Preterm Premature Rupture of Membranes (PPROM)
Nursing Care Plan (NCP) for Preterm Labor / Premature Labor
Nursing Care Plan (NCP) for Process of Labor
Oxytocin (Pitocin) Nursing Considerations
Postpartum Discomforts
Postpartum Hematoma
Postpartum Interventions
Precipitous Labor
Pregnancy Labs
Rh Immune Globulin in Pregnancy
Signs of Pregnancy (Presumptive, Probable, Positive)
Meds for Postpartum Hemorrhage (PPH)
Fetal Heart Monitoring (FHM)
VEAL CHOP Nursing Mnemonic (Fetal Accelerations and Decelerations) (VEAL CHOP)
Uterine Stimulants (Oxytocin, Pitocin) Nursing Considerations
Postpartum Thrombophlebitis
Fetal Heart Monitoring Like A Pro – Live Tutoring Archive
Disseminated Intravascular Coagulation (DIC)
Magnesium Sulfate
Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)
Abortion in Nursing: Spontaneous, Induced, and Missed
Anemia in Pregnancy
Antepartum Testing
Betamethasone and Dexamethasone in Pregnancy
Chorioamnionitis
Discomforts of Pregnancy
Ectopic Pregnancy
Fundal Height Assessment for Nurses
Gestation & Nägele’s Rule: Estimating Due Dates
Gestational Diabetes (GDM)
Gestational HTN (Hypertension)
Gravidity and Parity (G&Ps, GTPAL)
Hydatidiform Mole (Molar pregnancy)
Hyperemesis Gravidarum
Incompetent Cervix
Infections in Pregnancy
Magnesium Sulfate in Pregnancy
Maternal Risk Factors
Menstrual Cycle
Nursing Care and Pathophysiology for Hemorrhoids
Nursing Care and Pathophysiology for Pelvic Inflammatory Disease (PID)
Nursing Care and Pathophysiology for Syphilis (STI)
Nursing Care Plan (NCP) for Abortion, Spontaneous Abortion, Miscarriage
Nursing Care Plan (NCP) for Abruptio Placentae / Placental abruption
Nursing Care Plan (NCP) for Chorioamnionitis
Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)
Nursing Care Plan (NCP) for Ectopic Pregnancy
Nursing Care Plan (NCP) for Gestational Hypertension, Preeclampsia, Eclampsia
Nursing Care Plan (NCP) for Gestational Diabetes (GDM)
Nursing Care Plan (NCP) for Hyperemesis Gravidarum
Nursing Care Plan (NCP) for Incompetent Cervix
Nursing Care Plan (NCP) for Placenta Previa
Nursing Care Plan (NCP) for Postpartum Hemorrhage (PPH)
Nursing Care Plan (NCP) for Premature Rupture of Membranes (PROM) / Preterm Premature Rupture of Membranes (PPROM)
Nursing Care Plan (NCP) for Preterm Labor / Premature Labor
Nursing Care Plan for Pelvic Inflammatory Disease (PID)
Nursing Care Plan for Chlamydia (STI)
Nutrition in Pregnancy
Possible Infections During Pregnancy Nursing Mnemonic (TORCH)
Postpartum Physiological Maternal Changes
Preeclampsia, Eclampsia, and HELLP Syndrome for Certified Emergency Nursing (CEN)
Pregnancy Labs
Prostaglandins in Pregnancy
Rh Immune Globulin (Rhogam)
Rh Immune Globulin in Pregnancy
Signs of Pregnancy (Presumptive, Probable, Positive)
Ultrasound