POSTPARTUM HEMORRHAGE COMPREHENSIVE
EXAM UPDATED QUESTIONS AND ANSWERS SURE
A+
✔✔When does postpartum psychosis typically occur? - ✔✔Typically 2-3 weeks
postpartum.
✔✔What are symptoms of postpartum psychosis? - ✔✔Delusions, hallucinations,
paranoia.
✔✔What are behavioral findings in postpartum psychosis? - ✔✔Confusion and
disorientation.
✔✔What are the dangers of postpartum psychosis? - ✔✔High risk of infanticide and
suicide.
✔✔What are risk factors for postpartum mental health disorders? - ✔✔Hormonal shifts,
history of anxiety or depression, poor support, young age, multiples, unintended
pregnancy.
✔✔What is the treatment for postpartum mental health disorders? - ✔✔Antidepressants,
antipsychotics, counseling.
, ✔✔ What is postpartum hemorrhage (PPH)? - ✔✔Heavy or excessive bleeding
following childbirth, defined as blood loss of 1,000 mL or more.
✔✔What is the blood loss threshold for PPH after vaginal/cesarean birth? - ✔✔More
than 1,000 mL blood loss.
✔✔What is the primary cause of postpartum hemorrhage? - ✔✔Uterine atony.
✔✔What is uterine atony? - ✔✔Failure of the uterus to contract after delivery, causing
continued bleeding.
✔✔What is primary postpartum hemorrhage? - ✔✔Bleeding occurring from birth to 24
hours postpartum, characterized by a boggy uterus.
✔✔What is secondary postpartum hemorrhage? - ✔✔Bleeding occurring after 24 hours
to 6 weeks postpartum, often sudden after discharge.
✔✔What are antepartum risk factors for PPH? - ✔✔Prior PPH, bleeding disorders, BMI
>40, diabetes, fibroids, previous uterine surgery, multiple gestation, polyhydramnios,
placenta previa, macrosomia, nifedipine use.
✔✔What are intrapartum risk factors for PPH? - ✔✔Hematocrit <30, platelets <70,000,
prolonged labor, prolonged second stage, oxytocin labor >24 hours, retained products.
✔✔What is the mnemonic for postpartum assessment? - ✔✔BUBBLEHERV: Breasts,
Uterus, Bowels, Bladder, Lochia, Episiotomy, Homan's sign, Emotional status,
Respiratory, Vital signs.
✔✔What are the 4 T's of postpartum hemorrhage? - ✔✔Tone, Trauma, Tissue,
Thrombin.
✔✔What does 'Tone' refer to in the 4 T's of PPH? - ✔✔Uterine atony, treated with
massage and uterotonics.
✔✔What does 'Trauma' refer to in the 4 T's of PPH? - ✔✔Lacerations or tears, treated
with surgical repair.
✔✔What does 'Tissue' refer to in the 4 T's of PPH? - ✔✔Retained placenta or retained
products, treated with D&C or curettage.
✔✔What does 'Thrombin' refer to in the 4 T's of PPH? - ✔✔Coagulation disorder,
treated with blood products and correction of the disorder.
EXAM UPDATED QUESTIONS AND ANSWERS SURE
A+
✔✔When does postpartum psychosis typically occur? - ✔✔Typically 2-3 weeks
postpartum.
✔✔What are symptoms of postpartum psychosis? - ✔✔Delusions, hallucinations,
paranoia.
✔✔What are behavioral findings in postpartum psychosis? - ✔✔Confusion and
disorientation.
✔✔What are the dangers of postpartum psychosis? - ✔✔High risk of infanticide and
suicide.
✔✔What are risk factors for postpartum mental health disorders? - ✔✔Hormonal shifts,
history of anxiety or depression, poor support, young age, multiples, unintended
pregnancy.
✔✔What is the treatment for postpartum mental health disorders? - ✔✔Antidepressants,
antipsychotics, counseling.
, ✔✔ What is postpartum hemorrhage (PPH)? - ✔✔Heavy or excessive bleeding
following childbirth, defined as blood loss of 1,000 mL or more.
✔✔What is the blood loss threshold for PPH after vaginal/cesarean birth? - ✔✔More
than 1,000 mL blood loss.
✔✔What is the primary cause of postpartum hemorrhage? - ✔✔Uterine atony.
✔✔What is uterine atony? - ✔✔Failure of the uterus to contract after delivery, causing
continued bleeding.
✔✔What is primary postpartum hemorrhage? - ✔✔Bleeding occurring from birth to 24
hours postpartum, characterized by a boggy uterus.
✔✔What is secondary postpartum hemorrhage? - ✔✔Bleeding occurring after 24 hours
to 6 weeks postpartum, often sudden after discharge.
✔✔What are antepartum risk factors for PPH? - ✔✔Prior PPH, bleeding disorders, BMI
>40, diabetes, fibroids, previous uterine surgery, multiple gestation, polyhydramnios,
placenta previa, macrosomia, nifedipine use.
✔✔What are intrapartum risk factors for PPH? - ✔✔Hematocrit <30, platelets <70,000,
prolonged labor, prolonged second stage, oxytocin labor >24 hours, retained products.
✔✔What is the mnemonic for postpartum assessment? - ✔✔BUBBLEHERV: Breasts,
Uterus, Bowels, Bladder, Lochia, Episiotomy, Homan's sign, Emotional status,
Respiratory, Vital signs.
✔✔What are the 4 T's of postpartum hemorrhage? - ✔✔Tone, Trauma, Tissue,
Thrombin.
✔✔What does 'Tone' refer to in the 4 T's of PPH? - ✔✔Uterine atony, treated with
massage and uterotonics.
✔✔What does 'Trauma' refer to in the 4 T's of PPH? - ✔✔Lacerations or tears, treated
with surgical repair.
✔✔What does 'Tissue' refer to in the 4 T's of PPH? - ✔✔Retained placenta or retained
products, treated with D&C or curettage.
✔✔What does 'Thrombin' refer to in the 4 T's of PPH? - ✔✔Coagulation disorder,
treated with blood products and correction of the disorder.
