ADN 127 Quiz 6 Chapters 22-24- Questions and Answers
What does subinvolution look like? Correct Ans-The clinical picture includes a postpartum
fundal height that is higher than expected with a boggy uterus; the lochia fails to change
colors from red to serosa to alba within a few weeks.
Uterine tone Correct Ans-The uterus can clamp down on itself to constrict the uterine
blood vessels to clot abnormal bleeding. most commonly results from overdistention of the
uterus.
Causes of Overdistention of the Uterus Correct Ans-1. Multifetal gestation
2. Fetal macrosomia
3. Hydraminos
4. Fetal abnormalities
5. Placental fragments - large uterus with painless dark-red blood mixed with clots; retained
products of conception
6. Prolonged, rapid, or forceful labor, especially if stimulated by oxytocin
7. Bacterial toxins (chorioamnionitis, endomyometritis, septicemia)
8. Use of anesthesia, especially halothane
,ADN 127 Quiz 6 Chapters 22-24- Questions and Answers
9. Use of magnesium sulfate when treating preeclampsia
Uterine Trauma Correct Ans-Lacerations, hematomas, uterine inversion, uterine rupture.
Can occur after prolonged labor, manipulation of fetus.
Lacerations of uterus Correct Ans-1. Cervical - mother started pushing before fully dilated
or a forceps delivery
2. Side-wall - occur with operative vaginal births or if hand presents with fetal head. Can also
be spontaneous.
These can arise from manipulation of fetus to prevent shoulder dystocia. They can cause
significant blood loss.
Uterine inversion Correct Ans-when the top of the uterus collapses into the inner cavity
due to excessive fundal pressure or pulling on the umbilical cord when the placenta is still
firmly attached to the fundus after the infant has been born.
Uterine inversion treatment Correct Ans-giving uterine relaxants and immediate manual
replacement by the health care provider. Do not replace in a non sterile setting.
, ADN 127 Quiz 6 Chapters 22-24- Questions and Answers
Uterine rupture Correct Ans-When your uterus tears or breaks open. more common in
women with previous cesarean incisions or those who have undergone any procedure
resulting in disruption of the uterine wall, including myomectomy, perforation of the uterus
during a dilation and curettage, biopsy, or intrauterine system insertion.
Von willebrand disease Correct Ans-a congenital bleeding disorder that is inherited as an
autosomal dominant trait. It is characterized by a prolonged bleeding time, a deficiency of von
Willebrand factor, and impairment of platelet adhesion.
is thought to affect men and women equally, it is diagnosed more frequently in women
because of menorrhagia, and it is more common among White women than African American
women.
Postpartum hemorrhage pathophysiology Correct Ans-During the third stage of labor, the
muscles of the uterus contract downward, causing constriction of the blood vessels that pass
through the uterine wall to the placental surface and stop the flow of blood. This action also
causes the placenta to separate from the uterine wall. The absence of uterine contractions
may result in excessive blood loss.
Most common cause of postpartum hemorrhage Correct Ans-uterine atony, failure of the
uterus to contract and retract after birth
What does subinvolution look like? Correct Ans-The clinical picture includes a postpartum
fundal height that is higher than expected with a boggy uterus; the lochia fails to change
colors from red to serosa to alba within a few weeks.
Uterine tone Correct Ans-The uterus can clamp down on itself to constrict the uterine
blood vessels to clot abnormal bleeding. most commonly results from overdistention of the
uterus.
Causes of Overdistention of the Uterus Correct Ans-1. Multifetal gestation
2. Fetal macrosomia
3. Hydraminos
4. Fetal abnormalities
5. Placental fragments - large uterus with painless dark-red blood mixed with clots; retained
products of conception
6. Prolonged, rapid, or forceful labor, especially if stimulated by oxytocin
7. Bacterial toxins (chorioamnionitis, endomyometritis, septicemia)
8. Use of anesthesia, especially halothane
,ADN 127 Quiz 6 Chapters 22-24- Questions and Answers
9. Use of magnesium sulfate when treating preeclampsia
Uterine Trauma Correct Ans-Lacerations, hematomas, uterine inversion, uterine rupture.
Can occur after prolonged labor, manipulation of fetus.
Lacerations of uterus Correct Ans-1. Cervical - mother started pushing before fully dilated
or a forceps delivery
2. Side-wall - occur with operative vaginal births or if hand presents with fetal head. Can also
be spontaneous.
These can arise from manipulation of fetus to prevent shoulder dystocia. They can cause
significant blood loss.
Uterine inversion Correct Ans-when the top of the uterus collapses into the inner cavity
due to excessive fundal pressure or pulling on the umbilical cord when the placenta is still
firmly attached to the fundus after the infant has been born.
Uterine inversion treatment Correct Ans-giving uterine relaxants and immediate manual
replacement by the health care provider. Do not replace in a non sterile setting.
, ADN 127 Quiz 6 Chapters 22-24- Questions and Answers
Uterine rupture Correct Ans-When your uterus tears or breaks open. more common in
women with previous cesarean incisions or those who have undergone any procedure
resulting in disruption of the uterine wall, including myomectomy, perforation of the uterus
during a dilation and curettage, biopsy, or intrauterine system insertion.
Von willebrand disease Correct Ans-a congenital bleeding disorder that is inherited as an
autosomal dominant trait. It is characterized by a prolonged bleeding time, a deficiency of von
Willebrand factor, and impairment of platelet adhesion.
is thought to affect men and women equally, it is diagnosed more frequently in women
because of menorrhagia, and it is more common among White women than African American
women.
Postpartum hemorrhage pathophysiology Correct Ans-During the third stage of labor, the
muscles of the uterus contract downward, causing constriction of the blood vessels that pass
through the uterine wall to the placental surface and stop the flow of blood. This action also
causes the placenta to separate from the uterine wall. The absence of uterine contractions
may result in excessive blood loss.
Most common cause of postpartum hemorrhage Correct Ans-uterine atony, failure of the
uterus to contract and retract after birth
