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Postpartum Hemorrhage
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Postpartum Hemorrhage
Postpartum Hemorrhage
Study
1
Question
What is postpartum hemorrhage defined as in terms of blood loss timing?
Page 3
Answer
Blood loss within 24 hours of birth
2
Question
What volume of blood loss within 24 hours constitutes postpartum hemorrhage after NSVD?
Page 3
Answer
>500 mL
3
Question
What volume of blood loss within 24 hours constitutes postpartum hemorrhage after CS?
Page 3
Answer
>1000 mL
4
Question
How does the blood loss threshold for postpartum hemorrhage differ between NSVD and CS?
Page 3
Answer
NSVD >500 mL; CS >1000 mL within 24 hours
5
Question
What anatomical source of bleeding is depicted in the postpartum hemorrhage diagram?
Page 3
Answer
Severed vessels of the placenta
6
Question
What are the two main types of postpartum hemorrhage?
Page 4
Answer
Early and late postpartum hemorrhage
7
Question
When does early postpartum hemorrhage occur?
Page 4
Answer
Within the first 24 hours after birth
8
Question
What characteristic makes early postpartum hemorrhage the most common type?
Page 4
Answer
It occurs within the first 24 hours
9
Question
When does late postpartum hemorrhage occur?
Page 4
Answer
After the first 24 hours up to 6-week puerperium
10
Question
How do early and late postpartum hemorrhages differ in their timing?
Page 4
Answer
Early within first 24 hours; late after 24 hours up to 6 weeks
11
Question
What mnemonic represents the primary causes of postpartum hemorrhage?
Page 5
Answer
4 T's
12
Question
What does the first 'T' in the 4 T's of postpartum hemorrhage causes represent?
Page 5
Answer
Tissue (retained placenta)
13
Question
What does the second 'T' in the 4 T's of postpartum hemorrhage causes represent?
Page 5
Answer
Tone (uterine atony)
14
Question
What does the third 'T' in the 4 T's of postpartum hemorrhage causes represent?
Page 5
Answer
Trauma (traumatic delivery)
15
Question
What does the fourth 'T' in the 4 T's of postpartum hemorrhage causes represent?
Page 5
Answer
Thrombin (coagulation disorders - DIC)
16
Question
How can the 4 T's mnemonic help in nursing assessment of postpartum hemorrhage?
Page 5
Answer
Identifies causes: Tissue, Tone, Trauma, Thrombin
17
Question
Is severe preeclampsia listed as a predisposing factor for postpartum hemorrhage?
Page 6
Answer
Yes, severe preeclampsia predisposes to postpartum hemorrhage
18
Question
What labor pattern predisposes clients to postpartum hemorrhage?
Page 6
Answer
Precipitate labor or delivery
19
Question
Do instrumental deliveries increase the risk of postpartum hemorrhage?
Page 6
Answer
Yes, instrumental deliveries are a predisposing factor
20
Question
What uterine condition predisposes to postpartum hemorrhage?
Page 6
Answer
Uterine inversion
21
Question
Name four predisposing factors for postpartum hemorrhage.
Page 6
Answer
Severe preeclampsia, precipitate labor/delivery, instrumental deliveries, uterine inversion
22
Question
What uterine assessment finding is associated with uterine atony in postpartum hemorrhage?
Page 7
Answer
Soft, boggy uterus
23
Question
What fundal position change is an assessment finding in postpartum hemorrhage?
Page 7
Answer
Displaced fundus
24
Question
What lochia characteristics indicate postpartum hemorrhage?
Page 7
Answer
Excessive lochia and blood clots
25
Question
What early behavioral signs suggest hypovolemia in postpartum hemorrhage?
Page 7
Answer
Restlessness, lightheadedness, dizziness
26
Question
What vital sign change is a classic assessment finding in postpartum hemorrhage?
Page 7
Answer
Hypotension
27
Question
What respiratory pattern is observed in clients with postpartum hemorrhage?
Page 7
Answer
Rapid shallow respirations
28
Question
What cardiac change accompanies postpartum hemorrhage?
Page 7
Answer
Tachycardia
29
Question
What skin assessment finding signals shock in postpartum hemorrhage?
Page 7
Answer
Cold clammy skin
30
Question
What urinary output change indicates postpartum hemorrhage?
Page 7
Answer
Decreased urine output