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 (B)</p> Signup and view all the answers

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

<p>Uterine inversion (B)</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 (C)</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 (D)</p> Signup and view all the answers

What is the definition of postpartum hemorrhage?

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

What is the most sensitive indicator in pregnancy trauma?

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

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

<p>Postpartum hemorrhage (C)</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 (B)</p> Signup and view all the answers

What causes direct maternal death?

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

Which condition is a risk factor for postpartum hemorrhage?

<p>Multiple gestation (C)</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 (C)</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 (A)</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 (C)</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 (C)</p> Signup and view all the answers

What is the primary risk associated with controlled cord traction?

<p>Cord avulsion (B)</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 (C)</p> Signup and view all the answers

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

<p>Uterine inversion (C)</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 (C)</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. (D)</p> Signup and view all the answers

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

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

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

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

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

<p>Heart rate (D)</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 (A)</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> (B)</p> Signup and view all the answers

What can be a possible cause of postpartum hemorrhage?

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

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