Postpartum Hemorrhage and Placental Separation Quiz

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

Trauma caused by lacerations or uterine rupture/inversion

Tissue caused by retained placenta or accumulated clot

Tone caused by atonic uterus (correct)

Thrombin caused by coagulopathies or DIC

Which of the following is a sign of placental separation mentioned in the text?

Gush of blood (correct)

Uterus descending

Umbilical cord shortening

Decrease in blood flow

What is the purpose of controlled cord traction during the management of postpartum hemorrhage?

To speed up separation of the placenta (correct)

To increase blood pressure

To prevent uterine inversion

To reduce the risk of coagulopathies

Why is giving uterotonics an important step in managing postpartum hemorrhage?

To aid with uterine contraction and tone Signup and view all the answers

What is the recommended interval for evaluating vital signs during postpartum hemorrhage management?

Every 5 minutes Signup and view all the answers

What is considered a late sign when evaluating a patient for postpartum hemorrhage?

Hypotension Signup and view all the answers

Which action is NOT part of the active management steps for the third stage of pregnancy?

Immediate delivery of the placenta Signup and view all the answers

What is the definition of postpartum hemorrhage?

Blood loss greater than 500ml after vaginal birth Signup and view all the answers

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

Postpartum hemorrhage Signup and view all the answers

At what stage of pregnancy does indirect maternal death typically occur?

Between 42 days and 1 year from the pregnancy Signup and view all the answers

What is the leading cause of direct maternal death?

Obstetrical complications Signup and view all the answers

When does heart rate typically become more sensitive in cases of pregnancy trauma?

Before any signs of blood loss are visible Signup and view all the answers

What is the best way to estimate blood loss during pregnancy according to the text?

By weighing used pads and diapers Signup and view all the answers

What defines late maternal death?

Maternal death occurring between 42 days and 1 year from the pregnancy Signup and view all the answers

Which of the following conditions is NOT listed as a cause of indirect maternal death in the text?

Preeclampsia Signup and view all the answers

What is the primary cause of direct maternal death according to the text?

Obstetrical complications Signup and view all the answers

Why is giving uterotonics considered an important step in managing postpartum hemorrhage?

To stimulate contractions and prevent excessive bleeding Signup and view all the answers

What defines late maternal death according to the text?

Death occurring between 42 days and 1 year from the pregnancy Signup and view all the answers

In cases of pregnancy trauma, which vital sign is typically more sensitive and occurs first according to the text?

Heart rate Signup and view all the answers

What volume of blood loss defines postpartum hemorrhage after a caesarean birth?

≥1000ml Signup and view all the answers

During the management of postpartum hemorrhage, what is the purpose of controlled cord traction as mentioned in the text?

To deliver the placenta Signup and view all the answers

Why is it important to give uterotonics during the management of postpartum hemorrhage?

To speed up separation of placenta Signup and view all the answers

Which is a potential risk associated with controlled cord traction during the management of postpartum hemorrhage?

Uterine inversion Signup and view all the answers

What is the correct sequence of steps in managing postpartum hemorrhage?

Evaluate vital signs, give 2 large bore IVs, administer uterotonics Signup and view all the answers

Which condition is NOT a common cause of postpartum hemorrhage?

Hypertensive disorders Signup and view all the answers

What is the primary function of giving crystalloid in the management of postpartum hemorrhage?

Improve cardiac output and perfusion Signup and view all the answers

Which technique is used to speed up the separation of the placenta?

Controlled cord traction Signup and view all the answers

What is the main purpose of actively managing the 3rd stage of pregnancy?

Minimizing blood loss and preventing complications Signup and view all the answers