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

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

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

What is NOT a common cause of postpartum hemorrhage?

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

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

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

What is the definition of postpartum hemorrhage?

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

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

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

What is the main cause of direct maternal death?

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

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

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

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

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

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

<p>Every 5 minutes (B)</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 (A)</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 (D)</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 (C)</p> Signup and view all the answers

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

<p>Hysterectomy (D)</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 (B)</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 (A)</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 (C)</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 (C)</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 (A)</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 (B)</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 (B)</p> Signup and view all the answers

What is the most common cause of postpartum hemorrhage?

<p>Tone caused by atonic uterus (C)</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 (B)</p> Signup and view all the answers

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

<p>Umbilical cord lengthening (D)</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 (C)</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 (D)</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 (D)</p> Signup and view all the answers

What distinguishes refractory atony from other causes of postpartum hemorrhage?

<p>'Globular' appearance of the uterus (D)</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 (B)</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 (D)</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 (B)</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 (C)</p> Signup and view all the answers

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

<p>Substance use (A)</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 (C)</p> Signup and view all the answers

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