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

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

Question:
Maternal hemorrhage is defined as

Answer:
cumulative blood loss greater than or equal to 1000 mL OR blood loss accompanied by signs or
symptoms of hypovolemia within 24 hoursafter the birth process (regardless of route)

Question:
Leading cause of maternal mortality

Answer:
PPH (requiring transfusion)

Question:
Secondary sequelae from PPH

Answer:
ARDS, shock, DIC, acute renal failure, loss of fertility, and Sheehan syn

Question:
Despite new definition blood loss greater than ____ after a vaginal delivery is abnormal

Answer:
500 mL

Question:
First step

Answer:
ID source of hemorrhage
-uterine
-cervical
-vaginal
-periurethral
-periclitoral
-perineal
-perianal
-rectal
(PE)

, Question:
Primary vs secondary

Answer:
Primary within 24 hours of birth, secondary >24 h and up to 12 wks postpartum

Question:
Helpful way to evaluate a bleeding patient

Answer:
4 Ts
-Tone
-Trauma
-Tisse
-Thrombin

Question:
Leading cause of PPH

Answer:
Uterine atony (70-80%)

Question:
Interventions for uterine atony

Answer:
massage, bimanual compression, uterotonic drugs

Question:
MAternal truama includes

Answer:
lacerations, expanding hematomas, uterine rupture

Question:
"Tissue" means/how to evaluate

Answer:
retained placenta/BSUS