Postpartum Hemorrhage Causes and Placental Separation Signs
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Questions and Answers

Which step is included in the management of postpartum hemorrhage?

  • Evaluation of vital signs every 30 minutes
  • Giving one large bore IV
  • Considering hypotension as an early sign
  • Crossmatching after giving crystalloid (correct)
  • What is the primary cause of postpartum hemorrhage due to atonic uterus?

  • Trauma from lacerations
  • Tissue from retained placenta
  • Thrombin from coagulopathies
  • Lack of uterine contraction/tone (correct)
  • Which uterotonic can aid with uterine contraction and speed up placental separation?

  • Oxytocin (correct)
  • Misoprostol
  • Ergometrine
  • Methylergometrine
  • What is a potential risk associated with controlled cord traction during postpartum hemorrhage management?

    <p>Increased risk of uterine inversion</p> Signup and view all the answers

    Which sign indicates placental separation during the third stage of pregnancy?

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

    What is NOT a common cause of postpartum hemorrhage?

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

    In postpartum hemorrhage management, when should vital signs be evaluated?

    <p>Every 5 minutes</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

    Which of the following conditions is an example of indirect maternal death?

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

    What is the main cause of direct maternal death?

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

    In pregnancy trauma, which vital sign is more sensitive and occurs first?

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

    What is the definition of late maternal death?

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

    Which condition would require active management during the third stage of labor to prevent postpartum hemorrhage?

    <p>Placental separation</p> Signup and view all the answers

    Which medication is commonly used for the prevention and treatment of postpartum hemorrhage?

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

    What is a potential risk when using controlled cord traction to speed up placental separation during postpartum hemorrhage management?

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

    Which medication is used for active management of the third stage of labor to prevent postpartum hemorrhage by aiding uterine contraction and placental separation?

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

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

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

    What is a concerning complication that may occur during controlled cord traction in postpartum hemorrhage management?

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

    Which of the following is NOT a step in the management of postpartum hemorrhage?

    <p>Perform immediate cesarean section</p> Signup and view all the answers

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

    <p>To accelerate placental separation</p> Signup and view all the answers

    In refractory uterine atony, which additional intervention may be considered after administering uterotonics?

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

    Which of the following is NOT a potential risk associated with controlled cord traction during postpartum hemorrhage management?

    <p>Decreased risk of bleeding</p> Signup and view all the answers

    In the management of refractory atony, which of the following interventions is typically considered after pharmacological measures have failed?

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

    What is a common complication that can arise from the administration of uterotonics for placental separation?

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

    Which of the following stabilization measures is crucial in the initial management of postpartum hemorrhage?

    <p>Vital signs monitoring</p> Signup and view all the answers

    What is a potential complication of using excessive fundal pressure during the management of postpartum hemorrhage?

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

    Which of the following is a characteristic feature of refractory atony in postpartum hemorrhage that distinguishes it from other causes?

    <p>Persistent bleeding despite interventions</p> Signup and view all the answers

    Why is it important to carefully evaluate the blood loss in postpartum hemorrhage management, especially during pregnancy?

    <p>Estimation of blood loss is difficult in pregnancy</p> Signup and view all the answers

    What is the most common cause of postpartum hemorrhage?

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

    Which intervention is included in the management of postpartum hemorrhage after the administration of uterotonic medications?

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

    What sign indicates placental separation during the third stage of pregnancy?

    <p>Umbilical cord lengthening</p> Signup and view all the answers

    In refractory atony during postpartum hemorrhage, what may be considered after pharmacological measures have failed?

    <p>Additional uterotonic administration</p> Signup and view all the answers

    Which step is crucial in the initial management of postpartum hemorrhage?

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

    What is a risk associated with controlled cord traction during postpartum hemorrhage management?

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

    What distinguishes refractory atony from other causes of postpartum hemorrhage?

    <p>'Globular' appearance of the uterus</p> Signup and view all the answers

    What is a distinguishing feature of refractory atony in postpartum hemorrhage that sets it apart from other causes?

    <p>Not responsive to uterotonics</p> Signup and view all the answers

    During the third stage of pregnancy, which condition would require active management to prevent postpartum hemorrhage?

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

    Which sign typically indicates placental separation during the third stage of pregnancy?

    <p>Sudden relief of tension in the umbilical cord</p> Signup and view all the answers

    Why is it crucial to carefully evaluate blood loss in postpartum hemorrhage management, especially during pregnancy?

    <p>Estimation of blood loss is challenging</p> Signup and view all the answers

    Which condition is an example of indirect maternal death according to the text?

    <p>Substance use</p> Signup and view all the answers

    What is a potential risk associated with using controlled cord traction during postpartum hemorrhage management?

    <p>Excessive fundal pressure</p> Signup and view all the answers

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