Obstetrics Quiz on Placenta and Hypertension

Play an AI-generated podcast conversation about this lesson

What is the typical timeframe for normal placental separation after delivery?

Within 15 minutes (correct)

Within 25 minutes

Within 10 minutes

Within 30 minutes

Which type of hypertension is characterized by high blood pressure that exists before pregnancy?

Chronic Hypertension (correct)

Eclampsia

Preeclampsia

Gestational Hypertension

What condition occurs when the placenta does not separate within 30 minutes after the start of the third stage of labor?

Uterine Atony

Placenta Previa

Retained placenta (correct)

Placenta Accreta

Which of the following conditions is known as 'Toxemia' in older slang?

Preeclampsia Signup and view all the answers

Which fetal condition should be monitored in a woman with Chronic Hypertension?

Intrauterine Growth Restriction (IUGR) Signup and view all the answers

What is the minimum blood pressure reading that qualifies as gestational hypertension (GHTN)?

140/90 mmHg Signup and view all the answers

Which symptom is present in preeclampsia but not in gestational hypertension?

Proteinuria Signup and view all the answers

What is an increased risk associated with preeclampsia with severe features?

Placental abruption Signup and view all the answers

Which of the following is a common risk factor for developing preeclampsia?

History of preeclampsia Signup and view all the answers

What distinguishes eclampsia from preeclampsia?

Development of seizures Signup and view all the answers

What is the recommended management for high-risk patients during the first trimester?

Low dose aspirin Signup and view all the answers

Which of the following is NOT a feature of preeclampsia with severe features?

Increased fetal movement Signup and view all the answers

What is the expected resolution period for preeclampsia after delivery?

By 12 weeks postpartum Signup and view all the answers

Which medication is commonly used in the management of preeclampsia with severe features?

Magnesium sulfate Signup and view all the answers

Which of the following is an effective method for monitoring fetal health in patients with gestational hypertension?

Weekly nonstress tests (NST) Signup and view all the answers

What is the most commonly accepted definition of postpartum hemorrhage (PPH) according to ACOG?

Cumulative blood loss of >1,000 mL for either vaginal or cesarean birth Signup and view all the answers

Which of the following conditions is NOT considered a risk factor for postpartum hemorrhage?

Low body mass index Signup and view all the answers

What is the cardinal sign of hematoma formation related to lacerations during delivery?

Pain not relieved by analgesics Signup and view all the answers

In managing early postpartum hemorrhage, which medication is contraindicated in patients with hypertension?

Methergin Signup and view all the answers

What should the nurse monitor for when assessing a patient with suspected uterine atony?

Color and amount of lochia Signup and view all the answers

Which of the following is a potential complication associated with prolonged second stage of labor?

Uterine atony Signup and view all the answers

What does the medication tranexamic acid (TXA) primarily help with during postpartum hemorrhage management?

Preventing the breakdown of fibrin Signup and view all the answers

Which action is NOT a part of the nursing management for postpartum hemorrhage?

Assess pulse oximetry Signup and view all the answers

Which type of laceration extends from the skin and muscles into the anal sphincter?

Third-degree laceration Signup and view all the answers

What is a common symptom indicating subinvolution of the uterus after childbirth?

Pelvic discomfort or backache Signup and view all the answers

What is the most effective way to manage a retained placenta leading to postpartum hemorrhage?

Manual removal by qualified personnel Signup and view all the answers

What might indicate the need for a massive transfusion protocol (MTP) in a postpartum patient?

Sustained hypotension Signup and view all the answers

Which assessment finding suggests a potentially severe case of hypovolemia during postpartum hemorrhage?

Weak pulsations and cool extremities Signup and view all the answers