POSTPARTUM HEMORRHAGE UPDATED EXAMS
SCRIPT QUESTIONS AND ANSWERS SURE A+
✔✔What are the signs of subinvolution of the uterus? - ✔✔Enlarged boggy uterus,
sudden vaginal bleeding, occurring 24 hours to 6 weeks postpartum.
✔✔What are nursing interventions for subinvolution? - ✔✔Two large-bore IVs, frequent
vital signs, Foley catheter, Methergine, blood products.
✔✔What is the most common complication of childbirth? - ✔✔Genital tract lacerations.
✔✔What causes genital tract lacerations? - ✔✔Spontaneous tears and episiotomy.
✔✔What are the signs of genital tract lacerations? - ✔✔Pain and bleeding immediately
postpartum.
✔✔What are the long-term complications of genital tract lacerations? - ✔✔Pelvic floor
dysfunction and dyspareunia.
✔✔What is the patient education for genital tract lacerations? - ✔✔Do not wipe; use a
peri bottle with warm water.
✔✔What causes postpartum hematomas? - ✔✔Lacerations, episiotomy, poor repair.
, ✔✔What is the most common type of postpartum hematoma? - ✔✔Vulvar hematoma.
✔✔What are the types of postpartum hematomas? - ✔✔Vulvar, vaginal, retroperitoneal.
✔✔What are the risk factors for postpartum hematomas? - ✔✔HTN, macrosomia,
operative vaginal delivery, precipitous birth, prolonged second stage, coagulopathies.
✔✔What are manifestations of postpartum hematomas? - ✔✔Severe localized pain,
unilateral swelling, difficulty sitting, difficulty voiding, tachycardia.
✔✔What does a vulvar hematoma look like? - ✔✔Bluish-purple bulge.
✔✔How are small hematomas managed? - ✔✔Ice, compression, analgesics, bed rest.
✔✔What is the management for large hematomas? - ✔✔Surgery and antibiotics.
✔✔Why are frequent vital signs important with hematomas? - ✔✔Hematomas can hide
massive blood loss.
✔✔What causes postpartum shock? - ✔✔Massive blood loss from postpartum
hemorrhage.
✔✔What is the shock index? - ✔✔Heart rate divided by systolic blood pressure; used to
determine severity of shock.
✔✔What does a shock index less than 0.6 indicate? - ✔✔No shock.
✔✔What does a shock index of 0.6-1 indicate? - ✔✔Mild shock.
✔✔What does a shock index of 1-1.4 indicate? - ✔✔Moderate shock.
✔✔What does a shock index greater than or equal to 1.4 indicate? - ✔✔Severe shock.
✔✔What are signs of postpartum shock? - ✔✔BP <85/45, HR >110, SpO2 <95%,
delayed capillary refill, decreased urine output, fear, anxiety.
✔✔What are nursing interventions for postpartum shock? - ✔✔Assess the 4 T's, fundal
checks every 15 minutes, large-bore IVs, blood products, anti-shock garment, monitor
fibrinogen, hemoglobin, and platelets.
✔✔Why are pregnant patients at increased risk for VTE? - ✔✔Pregnancy creates a
hypercoagulable state.
SCRIPT QUESTIONS AND ANSWERS SURE A+
✔✔What are the signs of subinvolution of the uterus? - ✔✔Enlarged boggy uterus,
sudden vaginal bleeding, occurring 24 hours to 6 weeks postpartum.
✔✔What are nursing interventions for subinvolution? - ✔✔Two large-bore IVs, frequent
vital signs, Foley catheter, Methergine, blood products.
✔✔What is the most common complication of childbirth? - ✔✔Genital tract lacerations.
✔✔What causes genital tract lacerations? - ✔✔Spontaneous tears and episiotomy.
✔✔What are the signs of genital tract lacerations? - ✔✔Pain and bleeding immediately
postpartum.
✔✔What are the long-term complications of genital tract lacerations? - ✔✔Pelvic floor
dysfunction and dyspareunia.
✔✔What is the patient education for genital tract lacerations? - ✔✔Do not wipe; use a
peri bottle with warm water.
✔✔What causes postpartum hematomas? - ✔✔Lacerations, episiotomy, poor repair.
, ✔✔What is the most common type of postpartum hematoma? - ✔✔Vulvar hematoma.
✔✔What are the types of postpartum hematomas? - ✔✔Vulvar, vaginal, retroperitoneal.
✔✔What are the risk factors for postpartum hematomas? - ✔✔HTN, macrosomia,
operative vaginal delivery, precipitous birth, prolonged second stage, coagulopathies.
✔✔What are manifestations of postpartum hematomas? - ✔✔Severe localized pain,
unilateral swelling, difficulty sitting, difficulty voiding, tachycardia.
✔✔What does a vulvar hematoma look like? - ✔✔Bluish-purple bulge.
✔✔How are small hematomas managed? - ✔✔Ice, compression, analgesics, bed rest.
✔✔What is the management for large hematomas? - ✔✔Surgery and antibiotics.
✔✔Why are frequent vital signs important with hematomas? - ✔✔Hematomas can hide
massive blood loss.
✔✔What causes postpartum shock? - ✔✔Massive blood loss from postpartum
hemorrhage.
✔✔What is the shock index? - ✔✔Heart rate divided by systolic blood pressure; used to
determine severity of shock.
✔✔What does a shock index less than 0.6 indicate? - ✔✔No shock.
✔✔What does a shock index of 0.6-1 indicate? - ✔✔Mild shock.
✔✔What does a shock index of 1-1.4 indicate? - ✔✔Moderate shock.
✔✔What does a shock index greater than or equal to 1.4 indicate? - ✔✔Severe shock.
✔✔What are signs of postpartum shock? - ✔✔BP <85/45, HR >110, SpO2 <95%,
delayed capillary refill, decreased urine output, fear, anxiety.
✔✔What are nursing interventions for postpartum shock? - ✔✔Assess the 4 T's, fundal
checks every 15 minutes, large-bore IVs, blood products, anti-shock garment, monitor
fibrinogen, hemoglobin, and platelets.
✔✔Why are pregnant patients at increased risk for VTE? - ✔✔Pregnancy creates a
hypercoagulable state.
