Postpartum Hemorrhage and Placental Separation
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Questions and Answers

What is the incidence of thrombin as a cause of postpartum hemorrhage?

  • 10%
  • 70%
  • 19%
  • 1% (correct)
  • Which step is part of the active management of the 3rd stage of pregnancy?

  • Giving crystalloid and colloid
  • Providing controlled cord traction (correct)
  • Evaluating vital signs every 5 minutes
  • Crossmatching blood products
  • What are the 4 signs of placental separation mentioned in the text?

  • Gush of blood, shortened umbilical cord, uterus descending, uterus becoming firm
  • Fever, chills, abdominal pain, headache
  • Hypotension, tachycardia, pallor, cold sweats
  • Gush of blood, umbilical cord lengthening, uterus rising, uterus becoming globular (correct)
  • Which type of management is important in treating refractory atony in postpartum hemorrhage?

    <p>Using oxytocin</p> Signup and view all the answers

    What can be a risk associated with controlled cord traction in postpartum hemorrhage management?

    <p>Uterine inversion</p> Signup and view all the answers

    Why is evaluating vital signs every 5 minutes important during postpartum hemorrhage management?

    <p>To identify early signs of hypotension</p> Signup and view all the answers

    Which type of medical intervention can speed up the separation of placenta during postpartum management?

    <p>Controlled cord traction</p> Signup and view all the answers

    What is the definition of postpartum hemorrhage?

    <p>Greater than 500ml of blood loss after vaginal birth</p> Signup and view all the answers

    What is the most sensitive indicator in pregnancy trauma?

    <p>Heart rate</p> Signup and view all the answers

    Which of the following is NOT a cause of indirect maternal death?

    <p>Postpartum hemorrhage</p> Signup and view all the answers

    What is the definition of late maternal death?

    <p>Death less than 1 year from end of pregnancy</p> Signup and view all the answers

    What causes direct maternal death?

    <p>Obstetrical complications</p> Signup and view all the answers

    Which condition is a risk factor for postpartum hemorrhage?

    <p>Multiple gestation</p> Signup and view all the answers

    What happens first in controlled cord traction during the management of postpartum hemorrhage?

    <p>Administration of uterotonic agents</p> Signup and view all the answers

    What is the most common cause of postpartum hemorrhage according to the text?

    <p>Tone caused by atonic uterus</p> Signup and view all the answers

    Which of the following is NOT a sign of placental separation as mentioned in the text?

    <p>Uterus rising</p> Signup and view all the answers

    In postpartum hemorrhage management, what is the purpose of controlled cord traction?

    <p>To speed up separation of placenta</p> Signup and view all the answers

    What is the primary risk associated with controlled cord traction?

    <p>Cord avulsion</p> Signup and view all the answers

    Which step is considered an essential part of active management during the third stage of pregnancy?

    <p>Evaluating vital signs every 5 minutes</p> Signup and view all the answers

    What is a potential risk of using controlled cord traction in postpartum hemorrhage management?

    <p>Uterine inversion</p> Signup and view all the answers

    Which cause accounts for the smallest incidence of postpartum hemorrhage according to the text?

    <p>Thrombin caused by coagulopathies or DIC</p> Signup and view all the answers

    What is the main difference between direct and indirect maternal death?

    <p>Direct maternal death is caused by obstetrical complications, while indirect maternal death is caused by pre-existing diseases.</p> Signup and view all the answers

    Which of the following conditions is considered an indirect cause of maternal death?

    <p>Cardiac disease</p> Signup and view all the answers

    What amount of blood loss defines postpartum hemorrhage after a vaginal birth?

    <p>Greater than 500ml</p> Signup and view all the answers

    Which vital sign is more sensitive and occurs first in pregnancy trauma?

    <p>Heart rate</p> Signup and view all the answers

    What is considered a sign of placental separation during the third stage of labor?

    <p>Gush of blood</p> Signup and view all the answers

    Which step is NOT part of the active management of the third stage of labor?

    <p><code>Delayed cord clamping</code></p> Signup and view all the answers

    What can be a possible cause of postpartum hemorrhage?

    <p><code>Neurologic disease (epilepsy)</code></p> Signup and view all the answers

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