Postpartum Hemorrhage
Postpartum Hemorrhage
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Exam (elaborations)
Postpartum Hemorrhage EXAMINATION & ANSWERS
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---7May 20242023/2024A+
- Which conditions are risk factors for uterine atony? (Select all that apply.) 
Primiparous birth Polyhydramnios Precipitous birth Fetal macrosomia Chorioamnionitis - Polyhydramnios Fetal macrosomia Chorioamnionitis
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greatgreatone9
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Exam (elaborations)
Postpartum Hemorrhage | Questions and Answers with complete solution
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--8June 20232022/2023A+Available in bundle
- most common cause of postpartum hemorrhage - uterine atony 
Where does detachment of the placenta normally occur first from the uterine wall? - starts at center 
and works its way toward the periphery 
How is the uterine bleeding stopped after the placenta detaches - "criss-crossing" muscle cells 
encircling the maternal spiral arteries contract 
post-partum hemorrhage - delivery-associated blood loss in excess of *500mL* for a vaginal delivery 
and in excess of *1,000 mL* for a c/s 
primary (...
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Brainarium
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Exam (elaborations)
POSTPARTUM HEMORRHAGE | Questions and Answers with complete solution
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--3June 20232022/2023A+Available in bundle
- POSTPARTUM HEMORRHAGE - Blood loss of >500 mL with vaginal delivery 
Blood loss of > 1000 mL with C/S 
Happens within 24 hours 
EARLY POSTPARTUM HEMORRHAGE & CAUSES - Inversion 
Lacerations 
Incomplete separation of the placenta 
Early = within 24 hours 
Uterine atony 
LATE POSTPARTUM HEMORRHAGE & CAUSES - Retained placental fragments (most common) 
Endometritis 
Subinvolution 
Late = >24 hrs but <6 weeks 
4 T's of POSTPARTUM HEMORRHAGE - Trauma 
Tone 
Tissue 
Thrombin 
POSTPARTUM H...
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Brainarium
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Exam (elaborations)
Postpartum Hemorrhage | Questions and Answers with complete solution
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--1June 20232022/2023A+Available in bundle
- discussing obstetric emergencies with a new registered nurse on Labor and Delivery, you initiate a 
conversation reviewing the common risk factors for postpartum hemorrhage. Which of the following is 
considered a risk factor? 
a. Age > 25 
b. Induction or augmentation of labor 
c. Drug induced analgesia 
d. Fetal intrauterine growth restriction - b. Induction or augmentation of labor 
Which of the following is the best strategy to prevent a postpartum hemorrhage? 
a. Active management of the...
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Brainarium