5-6

Question 1

one of the primary causes of maternal mortality associated with
childbearing. It is a major threat during pregnancy, throughout labor, and continuing into the
postpartum period.

Answer 1

hemorrhage

Question 2

defined as blood loss of 500 ml or more

Answer 2

postpartum hemorrhage

Question 3

when does hemorrhage occur?

Answer 3

early (within the first 24 hours following birth) or late (from 24 hours to 6
weeks after birth)

Question 4

excessive amount of
amniotic fluid

Answer 4

Polyhydramnios

Question 5

considered A large baby

Answer 5

greater than 9lbs

Question 6

Theses causes are generally referred to as the four T’s of postpartum hemorrhage:

Answer 6

tone, trauma, tissue and thrombin.

Question 7

Damage to the pituitary blood supply

Answer 7

Sheehan’s syndrome)

Question 8

This is the inability of the myometrium to contract and constrict the blood vessels within
the muscle fibers,

Answer 8

uterine atony

Question 9

give Situation resulting in drug related relaxation of uterine musculature

Answer 9

a.The use of MgSO4 for preeclampsia
b. The use of general anesthesia for cesarean delivery

Question 10

What signs are these: decreased blood pressure, increased pulse, and increased and anxiety
and irritability.

Answer 10

signs of shock

Question 11

this may be administered to stimulate uterine contractions when
oxytocin is ineffective.

Answer 11

Methergine/prostin

Question 12

may be administered to stimulate uterine contractions when
oxytocin is ineffective.

Answer 12

Methergine/prostin

Question 13

may be administered to stimulate uterine contractions when
oxytocin is ineffective.

Answer 13

Methergine/prostin

Question 14

what to do if the patient’s hematocrit drops too low and/or if she is
symptomatic

Answer 14

blood transfusion

Question 15

What to do if the fundus is boggy

Answer 15

massage the fundus

Question 16

intervention performed by a skilled birth attendant, where
one hand is placed in the vagina and pushed against the body of the uterus, while the other
hand compresses the uterine fundus above through the abdominal wall.

Answer 16

Bimanual uterine compression

Question 17

They are easier to
assess than cervical lacerations, because they are easier to view.

Answer 17

Vaginal Lacerations

Question 18

usually occur when a woman
is placed in a lithotomy position for birth, because this position increases tension
on the perineum

Answer 18

perineal lacerations

Question 19

What degree? tear of the vaginal mucous membranes and skin of the perineum to
the fourchette.

Answer 19

First degree

Question 20

What degree? tear of the vagina, perineal skin, fascia, levator ani muscle and
perineal body.

Answer 20

Second degree

Question 21

What degree? tear of the perineum, and reaches the external sphincter of the
rectum.

Answer 21

Third degree

Question 22

what degree? tear of the entire perineum, rectal sphincter, and some of the
mucous membrane of the rectum.

Answer 22

4th degree

Question 23

localized collection of blood in the connective tissue beneath
the skin covering the external genitalia or vaginal mucosa.

Answer 23

vulvar hematoma

Question 24

Management of uterine inversion

Answer 24

hysterectomy

Question 25

Fundus is forced through the cervix so that the uterus is turned inside out

Answer 25

Uterine inversion

Question 26

How frequent do you check uterine fundus?

Answer 26

every 15 minutes the first hour, then
every 30 minutes for 2 hours, and every hour until stable)

Question 27

is a slowing of the process of involution or shrinking of the
uterus.

Answer 27

Uterine subinvolution

Question 28

therapy for endometritis.

Answer 28

antimicrobial

Question 29

done to remove any placental fragments.

Answer 29

dilatation and curettage

Question 30

is a deficiency in clotting ability
caused by vascular injury

Answer 30

Disseminated Intravascular Coagulation

Question 31

Refers to bacterial infections after childbirth

Answer 31

PUERPERAL INFECTION

Question 32

is used to describe infections that can be devastating to the fetus
or newborn

Answer 32

TORCH
• Toxoplasmosis
• Other infections
• Rubella
• Cytomegalovirus
• Herpes

Question 33

Puerperal infection is a term used to describe any infection of the reproductive
tract during the (what week)?

Answer 33

first six weeks of postpartum