POSTPARTUM HEMORRHAGE FINAL EXAMS
ACTUAL QUESTIONS AND ANSWERS SURE A+
✔✔What are manifestations of endometritis? - ✔✔Fever, foul-smelling lochia, increased
lochia.
✔✔What is the nursing care for endometritis? - ✔✔Assess uterus, assess lochia,
administer antibiotics and pain medication.
✔✔What causes mastitis? - ✔✔Milk stasis and clogged ducts leading to infection.
✔✔What are risk factors for mastitis? - ✔✔Inverted nipples, poor latch, ineffective
breastfeeding.
✔✔What are manifestations of mastitis? - ✔✔Flu-like symptoms with painful breasts,
fever, chills, fatigue, redness, heat, swelling.
✔✔What is the management for mastitis? - ✔✔Continue breastfeeding, breast
massage, cool compresses, antibiotics, pain medications.
✔✔What are complications of untreated mastitis? - ✔✔Abscess formation and sepsis.
, ✔✔What is sepsis? - ✔✔A severe systemic infection that commonly develops from
endometritis or wound infection.
✔✔What are common organisms causing postpartum sepsis? - ✔✔Group A
Streptococcus, Group B Streptococcus, E. coli.
✔✔What are manifestations of sepsis? - ✔✔Hypotension, tachycardia, tachypnea,
hypoxia, hypothermia, oliguria.
✔✔What is the pathophysiology of sepsis? - ✔✔Multisystem organ damage, pulmonary
edema, DIC, tissue ischemia.
✔✔What are nursing interventions for sepsis? - ✔✔Frequent vital signs, broad-spectrum
antibiotics ASAP, Lactated Ringer's, blood cultures, monitor SOFA score.
✔✔What does a higher SOFA score indicate? - ✔✔Worse prognosis.
✔✔What is idiopathic thrombocytopenic purpura (ITP)? - ✔✔Also called immune
thrombocytopenia; the immune system destroys platelets and it does not resolve after
birth.
✔✔What are manifestations of ITP? - ✔✔Bruising, petechiae, bleeding gums, epistaxis,
heavy bleeding.
✔✔What is the long-term treatment for ITP? - ✔✔Corticosteroids.
✔✔What is the treatment of hemorrhage in ITP? - ✔✔Immunoglobulin.
✔✔What is the treatment for severe or unresponsive ITP? - ✔✔Splenectomy.
✔✔What is von Willebrand disease? - ✔✔A hereditary clotting disorder causing
bleeding gums, epistaxis, and heavy menstrual bleeding.
✔✔What is the main cause of iron deficiency anemia in pregnancy? - ✔✔Von
Willebrand disease.
✔✔What is the postpartum monitoring for von Willebrand disease? - ✔✔Monitor
coagulation studies for 7 days postpartum.
✔✔What is the difference between ITP and von Willebrand disease? - ✔✔ITP involves
immune destruction of platelets; von Willebrand disease is a clotting factor problem with
normal platelet counts but impaired adhesion.
ACTUAL QUESTIONS AND ANSWERS SURE A+
✔✔What are manifestations of endometritis? - ✔✔Fever, foul-smelling lochia, increased
lochia.
✔✔What is the nursing care for endometritis? - ✔✔Assess uterus, assess lochia,
administer antibiotics and pain medication.
✔✔What causes mastitis? - ✔✔Milk stasis and clogged ducts leading to infection.
✔✔What are risk factors for mastitis? - ✔✔Inverted nipples, poor latch, ineffective
breastfeeding.
✔✔What are manifestations of mastitis? - ✔✔Flu-like symptoms with painful breasts,
fever, chills, fatigue, redness, heat, swelling.
✔✔What is the management for mastitis? - ✔✔Continue breastfeeding, breast
massage, cool compresses, antibiotics, pain medications.
✔✔What are complications of untreated mastitis? - ✔✔Abscess formation and sepsis.
, ✔✔What is sepsis? - ✔✔A severe systemic infection that commonly develops from
endometritis or wound infection.
✔✔What are common organisms causing postpartum sepsis? - ✔✔Group A
Streptococcus, Group B Streptococcus, E. coli.
✔✔What are manifestations of sepsis? - ✔✔Hypotension, tachycardia, tachypnea,
hypoxia, hypothermia, oliguria.
✔✔What is the pathophysiology of sepsis? - ✔✔Multisystem organ damage, pulmonary
edema, DIC, tissue ischemia.
✔✔What are nursing interventions for sepsis? - ✔✔Frequent vital signs, broad-spectrum
antibiotics ASAP, Lactated Ringer's, blood cultures, monitor SOFA score.
✔✔What does a higher SOFA score indicate? - ✔✔Worse prognosis.
✔✔What is idiopathic thrombocytopenic purpura (ITP)? - ✔✔Also called immune
thrombocytopenia; the immune system destroys platelets and it does not resolve after
birth.
✔✔What are manifestations of ITP? - ✔✔Bruising, petechiae, bleeding gums, epistaxis,
heavy bleeding.
✔✔What is the long-term treatment for ITP? - ✔✔Corticosteroids.
✔✔What is the treatment of hemorrhage in ITP? - ✔✔Immunoglobulin.
✔✔What is the treatment for severe or unresponsive ITP? - ✔✔Splenectomy.
✔✔What is von Willebrand disease? - ✔✔A hereditary clotting disorder causing
bleeding gums, epistaxis, and heavy menstrual bleeding.
✔✔What is the main cause of iron deficiency anemia in pregnancy? - ✔✔Von
Willebrand disease.
✔✔What is the postpartum monitoring for von Willebrand disease? - ✔✔Monitor
coagulation studies for 7 days postpartum.
✔✔What is the difference between ITP and von Willebrand disease? - ✔✔ITP involves
immune destruction of platelets; von Willebrand disease is a clotting factor problem with
normal platelet counts but impaired adhesion.
