For Discussion this week we will look at: POSTPARTUM HEMORRHAGE. Please read with care and consider the questions that follow.

Becky is a 33 year old woman. She is a G4 P3. She had a spontaneous vaginal delivery of a 4100 live female 4 hours ago following a precipitous delivery. Post-delivery, she received 10u of Pitocin IM. Her perineum is intact and she is feeling good. She breastfed her infant after delivery for 20 minutes without any issues.

In the postpartum unit her fundus is firm at the umbilicus, her lochia is small to moderate. V.S. are stable. She rings her call bell and states "I feel dizzy and lightheaded". Upon entering the room, Becky is pale and there is a pool of blood on the floor.

• What are 4 interventions that the nurse should do?
• What are the risk factors for postpartum hemorrhage?
• What medical management should be initiated?
• Develop one nursing diagnosis and 3 nursing interventions for a patient experiencing a postpartum hemorrhage.