Lesson 13

Question 1

One of the primary causes of mortality associated with childbearing, a major threat during pregnancy, throughout labor, and continuing into the postpartum labor

Answer 1

Hemorrage

Question 2

A blood loss more than 500 ml in the first 24 hours

Answer 2

Early Postpartal Hemorrhage

Question 3

It is greater with Cesarean Section (1000 ml)

Answer 3

Early Postpartal Hemorrhage

Question 4

4 T’s of Postpartum Hemorrhage

Answer 4

Tone
Trauma
Tissue
Thrombin

Question 5

Lack of uterine muscle tone or relaxation of the uterus

Answer 5

Uterine Atony

Question 6

Most frequent cause of postpartum hemorrhage

Answer 6

Uterine Atony

Question 7

Uterine atony tends to occur most offen in ______ (what nationality)

Answer 7

Asian
Hispanic
Black

Question 8

What degree: vaginal mucous membrane and skin of the perineum to the fourchette

Answer 8

1st degree

Question 9

What degree: vagina, perineal skin, fascia, levator ani muscles, perineal body

Answer 9

2nd degree

Question 10

What degree: entire perineum, rectal sphincter, and some of the mucous membrane

Answer 10

4th degree

Question 11

What degree: entire perineum and reaches the external sphincter of the rectum

Answer 11

3rd degree

Question 12

Most common after operations; a firm uterus with bright red blood or a steady stream or trickle of unclotted blood

Answer 12

Vaginal, Cervical, and Perineal Laceration

Question 13

A collection of blood in the subcutaneous layer of the tissue of the perineum

Answer 13

Perineal Hematoma

Question 14

There is a purplish discolouration with obvious tender in the perineal

Answer 14

Perineal hematoma

Question 15

Occurs most often in women who have a previous cesarean scar

Answer 15

Uterine inversion / Uterine Rupture

Question 16

Has an assessment of tearing sensation

Answer 16

Uterine inversion / Uterine rupture

Question 17

A type of rupture through the endometrium, myometrium, and peritoneum layers

Answer 17

Complete Rupture

Question 18

A type of rupture with localized tenderness and a persistent aching pain over the area of lower uterine segment

Answer 18

Incomplete Rupture

Question 19

Portion of placenta are left still attached to the uterine that keeps it from contracting fully and uterine bleeding course

Answer 19

Retained Placental Fragments

Question 20

Contributing factors of Retained Placental Fragments

Answer 20

Placenta succenturriata
Placenta accreta
Previous cesarean section

Question 21

This management uses balloon occlusion and embolization of the internal iliac arteries to minimize blood loss

Answer 21

Placenta Accreta

Question 22

An acquired disorder of blood clotting in which the fibronogen levels falls to effective limits

Answer 22

DIC / Disseminated Intravascular Coagulation

Question 23

Occurs when there is such an extreme bleeding and so many platelets and fibrin rush to the site

Answer 23

DIC / Disseminated Intravascular Coagulation

Question 24

Failure of the uterus to return to its normal prepregnant size and shape after pregnancy

Answer 24

Uterine Subinvolution

Question 25

It causes bleeding and occurs often within 1 to 2 week after childbirth because of retained placental fragmentd

Answer 25

Uterine Subinvolution

Question 26

It causes bleeding and occurs often within 1 to 2 weeks after childbirth because of retained placental fragments

Answer 26

Uterine Subinvolution

Question 27

Administered to improve uterine tone and complete involution

Answer 27

Oral Methergine