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The nurse asks a client with a history of alcoholism about recent drinking behavior. The client states "I didn’t hurt anyone. I just like to have a good time, and drinking helps me to relax." The client is using which defense mechanism?
A) Denial
B) Projection
C) Intellectualization
D) Rationalization
http://YouTube.com/@DSNursing
DS NURSING ONLINE CLASS TIPS
Postpartum Hemorrhage (PPH)
👉Definition
Excessive bleeding following childbirth.
•WHO definition: Blood loss >500 ml after vaginal delivery or >1000 ml after cesarean section within 24 hours of birth.
👉Classified as
👇
Primary PPH: Occurs within first 24 hours.
👇
Secondary PPH: Occurs after 24 hours up to 12 weeks postpartum.
👉Causes (4 T’s)
1. Tone – Uterine atony (most common cause).
2. Tissue – Retained placenta or clots.
3. Trauma – Genital tract lacerations, uterine rupture, hematoma.
4. Thrombin – Coagulation disorders (DIC, clotting abnormalities).
👉Risk Factors
1.Prolonged labor or rapid labor
2.Over distended uterus (multiple pregnancy, polyhydramnios, large baby)
3.Induction/augmentation with oxytocin
4.Previous PPH
5.Operative delivery (forceps, C-section)
👉Clinical Features
✓Excessive vaginal bleeding
✓Signs of hypovolemic shock (pallor, tachycardia, hypotension, restlessness)
✓Boggy, soft uterus (if atony)
👉Management
👉Immediate Actions:-
Call for help, assess vitals, IV access with fluids, oxygen.
Massage uterus to stimulate contraction.
Administer uterotonics (Oxytocin, Misoprostol, Ergometrine, Carboprost).
Explore and repair genital tract trauma.
Remove retained products manually if needed.
Blood transfusion if severe blood loss.
👉Complications
✓Hypovolemic shock
✓Anemia
Death if untreated
YouTube.com/@DSNursingFacebook.com/@DSNursingTips
Who can try based on The above Tips
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A 34-year-old Para-VI woman comes with a complaint of vaginal bleeding for one hour after giving birth at the local health center. The third stage was managed actively. On physical examination, pulse rate is 120/min and blood pressure is 80/50mmHg with excessive vaginal bleeding observed on physical examination.
What is the most likely diagnosis of the above case?
(A) Lochia rubra
(B) Primary PPH
(C) Secondary PPH
(D) Third stage hemorrhagehttp://YouTube.com/@DSNursinghttp://Facebook.com/@DSNursingTips
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DS NURSING ONLINE CLASS 6th ROUND
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DS 0931745423/@DSNursing
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DS NURSING ONLINE CLASS 6th ROUND
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DS 0931745423/@DSNursing
Today I have made beautiful and educational YouTube Videos.
Be Ready!
YouTube.com/@DSNursing
DS NURSING ONLINE CLASSThe cardiovascular diagnostic procedure that shows electrical activity of the heart is
A) Cardiac catheterization
B) Chest X-rays
C) Electrocardiogram
D) Cardiac ultra sound
YouTube.com/@DSNursing
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