Tina Nelson delivered a healthy male infant 6 hours ago. She had a…

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Tina Nelson delivered a healthy male infant 6 hours ago. She had a midline episiotomy. This is her third pregnancy. She is now a G3P3003. She had an epidural block for her labor and delivery. She is now admitted to the postpartum unit.

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  1. What is important to note in the initial postpartum assessment? Include at least 5 assessments. Why is it important to assess for these things and what do the findings mean?

 

  1. What are potential indications of a postpartum hemorrhage? List at least three indications.

 

  1. What would you do if you found a boggy uterus?

 

  1. What are the normal dose range and administration routes for oxytocin?

 

  1. Induction/Stimulation of Labor:
  2. Postpartum Hemorrhage:
  3. Incomplete/Inevitable Abortion:

 

  1. What are the contraindication, side effects, and adverse effects of oxytocin?

 

  1. Complete the following dosage calculation: 
    1. The physician has ordered 1000 mL Lactated Ringers (LR) with 10 units IV oxytocin. Begin at 1 mU/min and then increase by 1 mU/min every 30 minutes until regular contractions occur. Maximum dose is 20 mU/min. 
      1. What is the beginning IV rate in mL/hr?
      2. What is the maximum IV rate in mL/hr?

 

  1. What is the indication for Methergine, and what is a normal dose? 
    1. What are contraindications for Methergine?
    2. What are the adverse reactions or possible side effects for Methergine?

 

  1. What interventions would you anticipate in the event of a postpartum hemorrhage (independent and dependent nursing interventions)? List at least 5 interventions in order of priority.

 

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