Maternity Case 5: Fatime Sanogo
Documentation Assignments,
Answered by expert tutors, latest
spring 2026/2027.
Which of the following factors places a pt at risk for postpartum hemorrhage? (SATA)
a) Macrosomia
b) Maternal Fever
c) Preterm Birth
d) Rapid labor
e) Oxytocin - answer- a) Macrosomia
b) Maternal Fever
d) Rapid labor
e) Oxytocin
d, a and e use during labor all place additional stress on the uterine muscle and may
lead to muscle fatigue and failure of the muscle ate effectively contract post-birth.
Maternal fever indicating intrauterine infection may also impair the effectiveness of the
uterine muscle to contract and control bleeding from the placental site. c is not a risk
factor for postpartum hemorrhage.
Which of the following is consistent w/ the definition of a major obstetric hemorrhage?
a) Blood loss of 2000 mL (67.6 oz) after a cesarean birth
b) Blood loss of 500-1000 mL (16.9-33.8 oz)
c) Blood loss requiring transfusion if more than 5 units of blood
d) Blood loss requiring transfusions of 2 units of blood - answer- c) Blood loss requiring
transfusion if more than 5 units of blood
Blood loss of more than 2500 mL (84.5 oz) or blood loss requiring more than 5 units of
transfused blood. Postpartum hemorrhage is defines as blood loss of 500 mL after
vaginal birth or 1000 mL after c-section, but a more objective definition of postpartum
hemorrhage would be any amount of bleeding that places the mother in hemodynamic
jeopardy.
Which of the following are contraindications to the admin. of miso-rostov (Cytotec) for a
tx of a postpartum hemorrhage? (SATA)
a) Gastric ulcers
, b) Hep C
c) EBL >1500 mL (50.7 oz)
d) Asthma
e) Grand multiparity - answer- b) Hep C
d) Asthma
Presence of pulmonary or hepatic disease is a contraindication for the use of
prostaglandin meds.
Following the admin of miso-rostov (Cytotec) for management of postpartum
hemorrhage, which of the following is the priority nursing assessment?
a) BP
b) Uterine tone
c) Urine output
d) Pain scale rating - answer- b) Uterine tone
Continuous contraction of the uterus is the goal of postpartum hemorrhage
interventions, and miso-rostov is used to stimulate uterine contraction. Therefore,
assessing uterine tone is the priority assessment to evaluate the effectiveness of this
med.
A pt is hemorrhagic after giving birth. When inspected, an area of the placenta was
frayed. The provider suspects that placental fragments are retained within the uterus.
What si the expected tx for this condition?
a) Oxytocin (Pitocin) admin followed by carboprost tromethamine (Hemabate) admin
b) Uterine inversion followed by miso-rostov (yYtotec) admin
c) Uterine massage followed by methylergonovine maleate (Methergine) admin
d) Evacuation of the uterus followed by oxytocin (Pitocin) admin - answer- d) Evacuation
of the uterus followed by oxytocin (Pitocin) admin
Evacuation of the retained tissue from the uterus is the first step. This is usually done
manually by the provider. Then oxytocin is administered to help maintain uterine
contraction. a and c will stimulate contraction of the uterus while the placental fragments
are still inside. Uterine inversion is a medical complication, not an intervention.
During the first 30-45 mins of a postpartum hemorrhage, which of the following is the
best parameter to estimate the amount of blood loss?
a) Increasing HR
b) Change in the pt BP
c) Lack of urine output
d) Visual quantification of the amount of bleeding - answer- d) Visual quantification of
the amount of bleeding
Due to the increased blood volume of pregnancy, VS & urine output don't reflect
bleeding until approximately 1800 mL (60.9 oz) of blood has been lost. Therefore, early
estimates of the degree of blood loss are based on observation or on weighing pads to
quantify blood loss.
Documentation Assignments,
Answered by expert tutors, latest
spring 2026/2027.
Which of the following factors places a pt at risk for postpartum hemorrhage? (SATA)
a) Macrosomia
b) Maternal Fever
c) Preterm Birth
d) Rapid labor
e) Oxytocin - answer- a) Macrosomia
b) Maternal Fever
d) Rapid labor
e) Oxytocin
d, a and e use during labor all place additional stress on the uterine muscle and may
lead to muscle fatigue and failure of the muscle ate effectively contract post-birth.
Maternal fever indicating intrauterine infection may also impair the effectiveness of the
uterine muscle to contract and control bleeding from the placental site. c is not a risk
factor for postpartum hemorrhage.
Which of the following is consistent w/ the definition of a major obstetric hemorrhage?
a) Blood loss of 2000 mL (67.6 oz) after a cesarean birth
b) Blood loss of 500-1000 mL (16.9-33.8 oz)
c) Blood loss requiring transfusion if more than 5 units of blood
d) Blood loss requiring transfusions of 2 units of blood - answer- c) Blood loss requiring
transfusion if more than 5 units of blood
Blood loss of more than 2500 mL (84.5 oz) or blood loss requiring more than 5 units of
transfused blood. Postpartum hemorrhage is defines as blood loss of 500 mL after
vaginal birth or 1000 mL after c-section, but a more objective definition of postpartum
hemorrhage would be any amount of bleeding that places the mother in hemodynamic
jeopardy.
Which of the following are contraindications to the admin. of miso-rostov (Cytotec) for a
tx of a postpartum hemorrhage? (SATA)
a) Gastric ulcers
, b) Hep C
c) EBL >1500 mL (50.7 oz)
d) Asthma
e) Grand multiparity - answer- b) Hep C
d) Asthma
Presence of pulmonary or hepatic disease is a contraindication for the use of
prostaglandin meds.
Following the admin of miso-rostov (Cytotec) for management of postpartum
hemorrhage, which of the following is the priority nursing assessment?
a) BP
b) Uterine tone
c) Urine output
d) Pain scale rating - answer- b) Uterine tone
Continuous contraction of the uterus is the goal of postpartum hemorrhage
interventions, and miso-rostov is used to stimulate uterine contraction. Therefore,
assessing uterine tone is the priority assessment to evaluate the effectiveness of this
med.
A pt is hemorrhagic after giving birth. When inspected, an area of the placenta was
frayed. The provider suspects that placental fragments are retained within the uterus.
What si the expected tx for this condition?
a) Oxytocin (Pitocin) admin followed by carboprost tromethamine (Hemabate) admin
b) Uterine inversion followed by miso-rostov (yYtotec) admin
c) Uterine massage followed by methylergonovine maleate (Methergine) admin
d) Evacuation of the uterus followed by oxytocin (Pitocin) admin - answer- d) Evacuation
of the uterus followed by oxytocin (Pitocin) admin
Evacuation of the retained tissue from the uterus is the first step. This is usually done
manually by the provider. Then oxytocin is administered to help maintain uterine
contraction. a and c will stimulate contraction of the uterus while the placental fragments
are still inside. Uterine inversion is a medical complication, not an intervention.
During the first 30-45 mins of a postpartum hemorrhage, which of the following is the
best parameter to estimate the amount of blood loss?
a) Increasing HR
b) Change in the pt BP
c) Lack of urine output
d) Visual quantification of the amount of bleeding - answer- d) Visual quantification of
the amount of bleeding
Due to the increased blood volume of pregnancy, VS & urine output don't reflect
bleeding until approximately 1800 mL (60.9 oz) of blood has been lost. Therefore, early
estimates of the degree of blood loss are based on observation or on weighing pads to
quantify blood loss.
