ACOG Postpartum Hemorrhage Questions With Complete Solutions

ACOG Postpartum Hemorrhage Questions With Complete
Solutions

"Tissue" means/how to evaluate Correct Answers retained
placenta/BSUS

ACute coagulopathy: 2 etiologies beyond massive blood loss
alone should be considered Correct Answers Placental
abruption
Ambiotic fluid embolism

After uterotonics and bimanual massage fail, use Correct
Answers compression/tamponade

Candidates for UAE Correct Answers hemodynamically stable
Persistent slow bleeding
Failed less invasice therapy

CI to 15-methyl PGF2 (hemabate) Correct Answers asthma,
active hepatic, pulm or cardiac disease

CI to misoprostol (cytotec) Correct Answers hypersensitivy

Classic contraction pattern of abruption Correct Answers high
frequency, low amplitude contractions

Contradindications to methergonovine (methergine) Correct
Answers HTN, preE, CV disease, hypersensitivy

Despite new definition blood loss greater than ____ after a
vaginal delivery is abnormal Correct Answers 500 mL

, First step: Correct Answers ID source of hemorrhage
-uterine
-cervical
-vaginal
-periurethral
-periclitoral
-perineal
-perianal
-rectal
(PE)

First steps when retained placenta suspected Correct Answers
manual extraction
Then banjo curetter or large oval forceps

Helpful way to evaluate a bleeding patient Correct Answers 4
Ts
-Tone
-Trauma
-Tisse
-Thrombin

If a uterine artery lacteration is suspected what should you
consider Correct Answers IR or surgical exploration and
ligation

If the fundus is firmbut the lower segment is dilated and atonic...
Correct Answers manual clot removal, bimanual compression
while waiting for uterotonics to work