obstetric hemorrhage

Question 1

normal blood loss with spontaneous vaginal delivery

Answer 1

500 ml

Question 2

normal blood loss in c section

Answer 2

1000 ml

Question 3

triad of uterine bleeding + uterine hyperactivity + fetal distress

Answer 3

placental abruption

Question 4

which grade of placental abruption has slight vaginal bleeding w/o changes in fibrinogen, FHT or BP?

Answer 4

grade 1

Question 5

which grade of placental abruption has mild-moderate uterine bleeding?

Answer 5

grade 2

Question 6

what is a frequent cause of placental abruption?

Answer 6

maternal HTN (>140/90)

Question 7

painful vaginal bleeding in 3rd trimester

Answer 7

placental abruption

Question 8

implantion of the placenta over the cervical os

Answer 8

placenta previa

Question 9

leading cause of 3rd trimester hemorrhage

Answer 9

placenta previa

Question 10

presents with painless bleeding in 3rd trimester

Answer 10

placenta previa

Question 11

abnormally firm attachment as a result of placenta previa can result from loss of

Answer 11

decidua basalis

Question 12

abnormal placentation w/ attachment to the myometrium

Answer 12

accreta

Question 13

abnormal placentation with invasion into myometrium

Answer 13

increta

Question 14

abnormal placentation with penetration into myometrium

Answer 14

percreta

Question 15

abnormal placentation with previa increases with what?

Answer 15

incr # c-sections

Question 16

fetal vessels transverse the membranes and cover the os

Answer 16

vasa previa

Question 17

main complaint of severe rectal pressure

Answer 17

vaginal hematoma

Question 18

what tye of hematoma is most dangerous?

Answer 18

retroperitoneal hematoma