PPH

Which of the following conditions is most commonly associated with placental abruption?

Your patient with a suspected placental abruption is going into Disseminated Intravascular Coagulopathy (DIC). Which of the following maternal serum hematological components is decreased?

The best fluid replacement(s) in patients with hypovolemic shock is (are):

When checking an asthmatic woman in the immediate postpartum period, you note her uterus is atonic and she has a steady flow of blood from the vagina. You begin uterine massage, but despite the massage the uterus fails to contract. Oxytocin (Pitocin) is currently running via an IV. What is the most appropriate action to take next?

Which type of vaginal delivery should prompt inspection of the cervix and vagina following the delivery?

Select the best treatment for a woman who is bleeding from multiple sites including gums and IV puncture site

Select the best treatment for a woman who has orthostatic hypotension with normal Prothrombin Time (PT) and Partial Thromboplastin Time (PTT), Fibrinogen 240 mg/dL, and platelet count of 60,000/mm3.

The expected increase in hematocrit after transfusion of 1 unit packed red blood cells (PRBCs) is:

A hypertensive woman is experiencing excessive postpartum bleeding due to uterine atony. She has 40 units of Oxytocin (Pitocin) running IV. The next pharmaceutical agent would be?

When weighing chux or pads to quantify blood loss: 1 gram equals approximately how much blood?

An 18 x 18 standard lap sponge that is completely saturated and dripping is estimated to hold how much blood?

Which of the following is the most common cause of postpartum hemorrhage?

With extensive placental involvement and hemorrhage, successful management of placenta accreta/percreta usually includes which of the following?

A patient with a vaginal delivery has delivered the placenta. Bleeding persists despite administration of an Oxytocin (Pitocin) solution (40 u in 1000 ml) infusion over 20 minutes. Her uterus is firm. Which would be the immediate next step in this patient’s management?

To promote clinical coagulation, fibrinogen levels must be maintained at approximately what level?

A 40-year-old G4, P 2-0-1-2 at 40 2/7 weeks was admitted to the hospital with spontaneous rupture of membranes. After a 24-hour observation period, she developed clinical chorioamnionitis. She underwent Oxytocin (Pitocin) augmentation for 16 hours. The infant was delivered spontaneously with low forceps after a 3.5-hour second stage. The placenta delivered spontaneously and was intact. The infant’s birth weight was 4,400 grams. Ongoing uterine atony is noted with continued heavy bleeding despite vigorous massage. Which would be the best next step in this patient’s management?

Which of the following is used for surgical management of a hemorrhage during a cesarean section?

Which is the most common cause of a coagulopathy in pregnancy?

A 50% saturated 18 x 18 standard lap sponge is estimated to hold how much blood?

A G1P1001 woman is complaining of severe perineal pain and pressure, rated as 7/10. While reviewing her history you note the following: an epidural for pain management during labor; a NSVD over a 2o episiotomy 6 hours ago; and second stage took 2 ½ hours. A physical assessment reveals: T 99.50F, P 100 bpm, RR 20, BP 110/60 mmHg; fundus firm with a scant amount of bleeding and an empty bladder. Based on your assessment what is the most likely cause of her pain?

1) At 29 weeks, a known complete placenta previa delivers by C-section because of vaginal bleeding. After an hour, her vital signs are: Blood pressure 90/50, Pulse 120, Respirations 22 and she has 40 cc concentrated urine in her foley bag. She receives a 500 cc bolus of Lactated Ringers but remains oliguric. Vaginal bleeding is minimal. Her abdomen is non-tender and soft. Her labs are as follows: Hgb 7.6g/dL, Hct: 22.8%, PLT: 127,000, PT: 11.4 sec, PTT: 30 sec, Fibrinogen 87mg/dL, INR: 0.7. The most appropriate next step in management is:

The most specific laboratory test for disseminated intravascular coagulopathy is: