ACOG Postpartum Hemorrhage REAL EXAM WITH 100% CORRECT ANSWERS

ACOG Postpartum Hemorrhage REAL EXAM WITH 100%
CORRECT ANSWERS
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)

Leading cause of maternal mortality -(ANSWER) PPH (requiring transfusion)

Secondary sequelae from PPH -(ANSWER) ARDS, shock, DIC, acute renal failure, loss of
fertility, and Sheehan syn

Despite new definition blood loss greater than ____ after a vaginal delivery is abnormal -
(ANSWER) 500 mL

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

Primary vs secondary -(ANSWER) Primary within 24 hours of birth, secondary >24 h and up to
12 wks postpartum

Helpful way to evaluate a bleeding patient -(ANSWER) 4 Ts
-Tone
-Trauma
-Tisse
-Thrombin

Leading cause of PPH -(ANSWER) Uterine atony (70-80%)

Interventions for uterine atony -(ANSWER) massage, bimanual compression, uterotonic drugs

MAternal truama includes -(ANSWER) lacerations, expanding hematomas, uterine rupture

"Tissue" means/how to evaluate -(ANSWER) retained placenta/BSUS

Risk Factors for PPH: atony -(ANSWER) prolonged use of oxytocin

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