Question

Name: 3. Blood Loss During Delivery a. How does blood volume change throughout pregnancy? b. Why does the blood lost during a typical delivery not cause shock? 4. Uterine Assessment a. Describe how a nurse would perform an assessment of fundus b. What is the difference between a "firm" fundus and a "bogey" fundus? C. Which type requires medical intervention? d. List FIVE types of medical intervention used.

Answer 1

3a) A pregnant patient's blood volume increases by as much as 50% and the heart rate increases by 20%.

3b) The blood lost during a typical delivery not cause shock because it is equal to or below 500ml which considered the average amount of blood loss during normal delivery .

4a) -select a time that will provide the most accurate data. For example: palpating the fundus when the woman has a full bladder may give false information about the progress of involution. So ask the woman to void before the assessment.

-consider need for pre-medication before any painful massage of the fundus

-provide explanation of purpose of assessment

-document and report results

-take appropriate precautions to prevent exposure to body fluids

4b) Firm fundus is a normal finding , is necessary to close off the torn blood vessels in the placental bed .

Boggy fundus means uterine atony is present and massage of fundus should be done to avoid excessive bleeding .