Postpartum Hemorrhage Verified Exam Questions and Answers Latest update 2026/2027

Postpartum Hemorrhage Verified Exam Questions and Answers Latest
update 2026/2027

Question:
most common cause of postpartum hemorrhage

Answer:
uterine atony

Question:
Where does detachment of the placenta normally occur first from the uterine wall?

Answer:
starts at center and works its way toward the periphery

Question:
How is the uterine bleeding stopped after the placenta detaches

Answer:
"criss-crossing" muscle cells encircling the maternal spiral arteries contract

Question:
post-partum hemorrhage

Answer:
delivery-associated blood loss in excess of *500mL* for a vaginal delivery and in excess of *1,000
mL* for a c/s

Question:
primary (early) PPH

Answer:
within 25 hours of delivery

Question:
secondary (late) PPH

Answer:
occurs >24 hours but within 12 weeks after delivery ("saturating a pad within an hour")

, Question:
Is early or late post-partum hemorrhage more worrisome?

Answer:
early

Question:
prevalence of post-partum hemorrhage

Answer:
4%

Question:
At what percent of blood loss in PPH, will a woman start developing signs?

Answer:
20%

Question:
clinical signs of 10-15%, 20%, 30%, and 40-50% blood loss with PPH

Answer:
10-15%: no signs 20%: tachycardia, delayed capillary refill, orthostatic changes, narrowed pulse
pressure 30%: breathing and HR further increases, overt hypotension develops 40-50%: oliguria,
shock, coma...death

Question:
4 T's that can cause early postpartum hemorrhage

Answer:
1. tone

Question:
2. trauma
3. tissue
4. thrombin (failure of blood to clot normally)
most common cause of early post-partum hemorrhage

Answer:
tone (atony)

Question:
What does the uterus feel like with atony?

Answer:
soft and boggy