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Maternal Health: Postpartum Hemorrhage

Description: Maternal Health: Postpartum Hemorrhage
Number of Questions: 15
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Tags: maternal health postpartum hemorrhage
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What is the leading cause of maternal mortality worldwide?

  1. Postpartum hemorrhage

  2. Eclampsia

  3. Sepsis

  4. Amniotic fluid embolism

Show answer
Correct Option: A
Explanation:

Postpartum hemorrhage is the leading cause of maternal mortality worldwide, accounting for approximately 14% of all maternal deaths.

What is the definition of postpartum hemorrhage?

  1. Blood loss of >500 mL within 24 hours of delivery

  2. Blood loss of >1000 mL within 24 hours of delivery

  3. Blood loss of >1500 mL within 24 hours of delivery

  4. Blood loss of >2000 mL within 24 hours of delivery

Show answer
Correct Option: A
Explanation:

Postpartum hemorrhage is defined as blood loss of >500 mL within 24 hours of delivery.

What are the risk factors for postpartum hemorrhage?

  1. Prolonged labor

  2. Multiple gestation

  3. Macrosomia

  4. Placenta previa

  5. All of the above

Show answer
Correct Option: E
Explanation:

All of the above are risk factors for postpartum hemorrhage.

What are the signs and symptoms of postpartum hemorrhage?

  1. Heavy vaginal bleeding

  2. Uterine atony

  3. Tachycardia

  4. Hypotension

  5. All of the above

Show answer
Correct Option: E
Explanation:

All of the above are signs and symptoms of postpartum hemorrhage.

What is the initial management of postpartum hemorrhage?

  1. Uterine massage

  2. Oxytocin

  3. Tranexamic acid

  4. Blood transfusion

  5. All of the above

Show answer
Correct Option: E
Explanation:

All of the above are part of the initial management of postpartum hemorrhage.

When is a hysterectomy indicated in the management of postpartum hemorrhage?

  1. When conservative measures fail to control bleeding

  2. When the patient is hemodynamically unstable

  3. When the patient has a uterine rupture

  4. All of the above

Show answer
Correct Option: D
Explanation:

All of the above are indications for hysterectomy in the management of postpartum hemorrhage.

What is the most common cause of postpartum hemorrhage in the United States?

  1. Uterine atony

  2. Placenta previa

  3. Abruptio placentae

  4. Retained placenta

Show answer
Correct Option: A
Explanation:

Uterine atony is the most common cause of postpartum hemorrhage in the United States.

What is the most common cause of postpartum hemorrhage in developing countries?

  1. Placenta previa

  2. Abruptio placentae

  3. Retained placenta

  4. Uterine rupture

Show answer
Correct Option: A
Explanation:

Placenta previa is the most common cause of postpartum hemorrhage in developing countries.

What is the mortality rate from postpartum hemorrhage?

  1. 1-2%

  2. 5-10%

  3. 10-15%

  4. 15-20%

Show answer
Correct Option: A
Explanation:

The mortality rate from postpartum hemorrhage is 1-2%.

What are the long-term consequences of postpartum hemorrhage?

  1. Anemia

  2. Iron deficiency

  3. Pelvic pain

  4. Infertility

  5. All of the above

Show answer
Correct Option: E
Explanation:

All of the above are long-term consequences of postpartum hemorrhage.

What are the strategies for preventing postpartum hemorrhage?

  1. Active management of the third stage of labor

  2. Prophylactic use of oxytocin

  3. Use of tranexamic acid

  4. All of the above

Show answer
Correct Option: D
Explanation:

All of the above are strategies for preventing postpartum hemorrhage.

What is the role of tranexamic acid in the prevention of postpartum hemorrhage?

  1. It reduces blood loss by inhibiting fibrinolysis

  2. It is safe to use in all patients

  3. It is effective in reducing the risk of death from postpartum hemorrhage

  4. All of the above

Show answer
Correct Option: D
Explanation:

All of the above are true about the role of tranexamic acid in the prevention of postpartum hemorrhage.

What is the recommended dose of tranexamic acid for the prevention of postpartum hemorrhage?

  1. 1 gram intravenously over 10 minutes

  2. 2 grams intravenously over 10 minutes

  3. 3 grams intravenously over 10 minutes

  4. 4 grams intravenously over 10 minutes

Show answer
Correct Option: A
Explanation:

The recommended dose of tranexamic acid for the prevention of postpartum hemorrhage is 1 gram intravenously over 10 minutes.

When should tranexamic acid be administered for the prevention of postpartum hemorrhage?

  1. Within 3 hours of delivery

  2. Within 6 hours of delivery

  3. Within 12 hours of delivery

  4. Within 24 hours of delivery

Show answer
Correct Option: A
Explanation:

Tranexamic acid should be administered for the prevention of postpartum hemorrhage within 3 hours of delivery.

What are the contraindications to the use of tranexamic acid for the prevention of postpartum hemorrhage?

  1. Active bleeding

  2. History of thromboembolic disease

  3. Severe renal impairment

  4. All of the above

Show answer
Correct Option: D
Explanation:

All of the above are contraindications to the use of tranexamic acid for the prevention of postpartum hemorrhage.

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