Postpartum Hemorrhage and Placental Separation Quiz
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Questions and Answers

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?

    <p>To aid with uterine contraction and tone</p> Signup and view all the answers

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

    <p>Every 5 minutes</p> Signup and view all the answers

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

    <p>Hypotension</p> Signup and view all the answers

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

    <p>Immediate delivery of the placenta</p> Signup and view all the answers

    What is the definition of postpartum hemorrhage?

    <p>Blood loss greater than 500ml after vaginal birth</p> Signup and view all the answers

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

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

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

    <p>Between 42 days and 1 year from the pregnancy</p> Signup and view all the answers

    What is the leading cause of direct maternal death?

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

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

    <p>Before any signs of blood loss are visible</p> Signup and view all the answers

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

    <p>By weighing used pads and diapers</p> Signup and view all the answers

    What defines late maternal death?

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

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

    <p>Preeclampsia</p> Signup and view all the answers

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

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

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

    <p>To stimulate contractions and prevent excessive bleeding</p> Signup and view all the answers

    What defines late maternal death according to the text?

    <p>Death occurring between 42 days and 1 year from the pregnancy</p> 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?

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

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

    <p>≥1000ml</p> 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?

    <p>To deliver the placenta</p> Signup and view all the answers

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

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

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

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

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

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

    Which condition is NOT a common cause of postpartum hemorrhage?

    <p>Hypertensive disorders</p> Signup and view all the answers

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

    <p>Improve cardiac output and perfusion</p> Signup and view all the answers

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

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

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

    <p>Minimizing blood loss and preventing complications</p> Signup and view all the answers

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