PPH Quiz: Can You Stop The Bleeding?

1. Uterine massage should be performed in which direction?

Downward only

Side-to-side

Circular motions

Random patterns

Submit

3. A client with postpartum hemorrhage has a hemoglobin of 6.5 g/dL. What is the priority action?

Discharge her home with iron supplements

Prepare for blood transfusion and fluid resuscitation

Monitor vital signs only

Give oral iron medication

4. Which intervention is appropriate for managing a uterine inversion?

Gentle uterine replacement by provider

Aggressive fundal massage

Oxytocin administration first

Immediate hysterectomy

Submit

6. A client with postpartum hemorrhage becomes confused and restless. What stage of shock is she experiencing?

Compensatory stage

Progressive stage

Irreversible stage

Recovery stage

7. Which finding suggests retained placental fragments as a cause of postpartum hemorrhage?

Sudden onset with bright red bleeding

Continued bleeding with boggy uterus

Bleeding that increases with fundal massage

Bright red clots in lochia weeks later

Submit

9. A client receives methylergonovine (Methergine). Which side effect requires immediate intervention?

Nausea and vomiting

Severe hypertension

Diarrhea

Mild headache

10. What is the normal postpartum lochia appearance on day 3?

Bright red, heavy flow

Dark red, moderate flow

Pink to brown, decreasing

White to yellow

11. What is the normal blood loss during vaginal delivery?

250-500 mL

500-1000 mL

1000-1500 mL

1500-2000 mL

Submit

13. Which maternal condition increases the risk of postpartum hemorrhage?

Primigravida status

Placenta previa

Young maternal age

Spontaneous vaginal delivery

14. A client with postpartum hemorrhage receives a transfusion of O-negative blood. Why is this blood type used?

It has no antigens

It matches most populations

It clots faster

It contains all antibodies

15. What is the maximum safe dose of oxytocin for IM administration to prevent postpartum hemorrhage?

5 units

10 units

15 units

20 units

16. Which vital sign change is most consistent with early hypovolemic shock from postpartum hemorrhage?

Bradycardia, hypertension

Tachycardia, hypotension

Bradycardia, hypotension

Normal heart rate, hypertension

17. A postpartum client has heavy vaginal bleeding, a soft uterus, and a distended bladder. What is the priority intervention?

Administer blood transfusion

Catheterize the bladder

Give ergot alkaloid

Perform uterine massage

18. What is the first-line medication for managing uterine atony?

Ergotamine

Oxytocin (Pitocin)

Misoprostol

Carboprost

19. Which of the following is NOT a common cause of early postpartum hemorrhage?

Uterine atony

Placental abruption

Uterine inversion

Subinvolution

20. Postpartum hemorrhage is classified as primary (early) if it occurs within how many hours after delivery?

6 hours

12 hours

24 hours

48 hours

PPH Quiz: Can You Stop the Bleeding?

1. Uterine massage should be performed in which direction?

2.

What first name or nickname would you like us to use?

2. Secondary postpartum hemorrhage typically occurs and is often caused by ____.

3. A client with postpartum hemorrhage has a hemoglobin of 6.5 g/dL. What is the priority action?

4. Which intervention is appropriate for managing a uterine inversion?

5. Hemoglobin and hematocrit should be rechecked after postpartum hemorrhage to assess ____.

6. A client with postpartum hemorrhage becomes confused and restless. What stage of shock is she experiencing?

7. Which finding suggests retained placental fragments as a cause of postpartum hemorrhage?

8. Tranexamic acid reduces postpartum hemorrhage by ____.

9. A client receives methylergonovine (Methergine). Which side effect requires immediate intervention?

10. What is the normal postpartum lochia appearance on day 3?

11. What is the normal blood loss during vaginal delivery?

12. The nurse assesses fundal firmness by palpating the uterus. A boggy, soft fundus indicates ____.

13. Which maternal condition increases the risk of postpartum hemorrhage?

14. A client with postpartum hemorrhage receives a transfusion of O-negative blood. Why is this blood type used?

15. What is the maximum safe dose of oxytocin for IM administration to prevent postpartum hemorrhage?

16. Which vital sign change is most consistent with early hypovolemic shock from postpartum hemorrhage?

17. A postpartum client has heavy vaginal bleeding, a soft uterus, and a distended bladder. What is the priority intervention?

18. What is the first-line medication for managing uterine atony?

19. Which of the following is NOT a common cause of early postpartum hemorrhage?

20. Postpartum hemorrhage is classified as primary (early) if it occurs within how many hours after delivery?