Postpartum Hemorrhage MCQ Quiz Questions And Answers

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Postpartum Hemorrhage MCQ Quiz Questions And Answers - Quiz

Take this great postpartum hemorrhage quiz today to see just how much your overloaded student brain was able to take in after reading so many different wiki pages! Postpartum hemorrhage is a medical situation when a woman experiences heavy bleeding after giving birth. It is a pretty rare albeit serious condition. It generally occurs within a day of giving birth but can also be delayed by up to 12 weeks. Let us start with the quiz to find out if you can learn something new about this topic! Let's go!


Questions and Answers
  • 1. 

    To be considered a PPH, what would the estimated blood loss have to be for a C-section?

    • A.

      < 550 ML

    • B.

      > 600 ML

    • C.

      > 1000 ML

    • D.

      < 900 ML

    Correct Answer
    C. > 1000 ML
    Explanation
    A PPH (postpartum hemorrhage) is defined as a blood loss of more than 1000 mL after a C-section. This means that for a blood loss to be considered a PPH, it would have to be greater than 1000 mL.

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  • 2. 

    What types of trauma during labour and birth would lead to PPH risk?

    • A.

      Instrumental assisted birth (vacuum or forceps)

    • B.

      C-Section

    • C.

      Lacerations of the cervix or vaginal wall

    • D.

      All of the above

    Correct Answer
    D. All of the above
    Explanation
    All of the mentioned types of trauma during labor and birth can lead to an increased risk of postpartum hemorrhage (PPH). Instrumental assisted birth, such as the use of vacuum or forceps, can cause trauma to the birth canal and increase the likelihood of excessive bleeding. C-sections involve surgical incisions in the uterus, which can also lead to PPH. Lacerations of the cervix or vaginal wall can cause significant bleeding and contribute to the risk of PPH. Therefore, all three options can potentially result in PPH.

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  • 3. 

    Atonic bleeding is due to a lack of tone in the uterus.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    Atonic bleeding refers to excessive bleeding after childbirth due to the lack of uterine muscle tone. When the uterus fails to contract and remain firm after delivery, it cannot effectively close off the blood vessels, leading to continuous bleeding. This condition is a common cause of postpartum hemorrhage. Therefore, the statement "Atonic bleeding is due to a lack of tone in the uterus" is true.

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  • 4. 

    In which of these cases could you diagnose PPH following vaginal delivery:  1. > 500  blood loss over 24 hrs  2. hypotension  3. tachycardia   

    • A.

      1 & 3

    • B.

      2

    • C.

      3

    • D.

      1

    Correct Answer
    D. 1
    Explanation
    PPH stands for postpartum hemorrhage, which refers to excessive bleeding after childbirth. In this case, the correct answer is 1 because both options 1 and 3 are possible signs of PPH. A blood loss of more than 500 mL over 24 hours is considered abnormal and can indicate PPH. Tachycardia, which is an abnormally fast heart rate, can also be a sign of PPH. Hypotension, or low blood pressure, is not specifically mentioned as a sign of PPH in this question.

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  • 5. 

    The 4 “T’s” of PPH are:  1. Trauma  2. Toxins  3. Travel  4. Tissue  5. Threads  6. Thrombin  7. Tears  8. Tone   

    • A.

      1, 4, 6 & 8

    • B.

      1, 5 7 & 8

    • C.

      1, 2, 3 & 6

    • D.

      3, 4, 5 & 6

    Correct Answer
    A. 1, 4, 6 & 8
    Explanation
    The correct answer is 1, 4, 6 & 8. The 4 "T's" of PPH (Postpartum Hemorrhage) are trauma, tissue, thrombin, and tone. Trauma refers to any injury or damage to the reproductive organs during childbirth. Tissue refers to retained placental tissue or blood clots in the uterus. Thrombin is a clotting factor that helps to stop bleeding. Tone refers to the contraction of the uterus after childbirth, which helps to control bleeding. Therefore, options 1, 4, 6, and 8 include all the correct "T's" of PPH.

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  • 6. 

    If continued bleeding occurs during the third stage with a contracted uterus, the cause is most likely to be:   

    • A.

      Cervical and perineal Lacerations

    • B.

      Placental abruption

    • C.

      Uterine atony

    • D.

      Cervical Polyp

    Correct Answer
    A. Cervical and perineal Lacerations
    Explanation
    If continued bleeding occurs during the third stage of labor with a contracted uterus, the most likely cause is cervical and perineal lacerations. Lacerations in these areas can result in persistent bleeding. Other possible causes such as placental abruption, uterine atony, or cervical polyp may also cause bleeding but are less likely in this scenario.

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  • 7. 

    What are four risk factors for PPH (arising during pregnancy)?  

    • A.

      Previous PPH; polyhydramnios; multiple pregnancy; anaemia conditions

    • B.

      Abruptio placenta; mollydominos, grand multi; iron deficiency

    • C.

      Intrauterine death; abracadabra placenta, previous pph, iron deficiency.

    • D.

      Placenta praevia; polyhydramnios, outeruterine death, hyroplanes

    • E.

      A & C

    Correct Answer
    A. Previous PPH; polyhydramnios; multiple pregnancy; anaemia conditions
    Explanation
    Four risk factors for PPH (arising during pregnancy) are previous PPH, polyhydramnios, multiple pregnancy, and anaemia conditions.

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  • 8. 

    _________________ and ________________ are the two most common causes of primary PPH. (Tissue, Tone, Trauma, Thrombin) (Don't add comma) 

    Correct Answer
    tone trauma, Tone and Trauma, Tone Trauma, tone and trauma
    Explanation
    The two most common causes of primary postpartum hemorrhage (PPH) are tone and trauma. Tone refers to the lack of uterine muscle contraction, which can lead to excessive bleeding after childbirth. Trauma, on the other hand, refers to any injury or damage to the genital tract during delivery, such as tears in the cervix or vagina. Both of these factors can contribute to PPH and are important to address and manage in order to prevent further complications.

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  • 9. 

    The normal blood flow through the placental site each minute is 500-800 mls per minute.  

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    The normal blood flow through the placental site each minute is 500-800 mls per minute. This means that during pregnancy, the placenta receives a significant amount of blood flow to support the growing fetus. This blood flow is necessary for the exchange of oxygen, nutrients, and waste products between the mother and the baby.

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  • 10. 

    Which of these implantations would most likely cause excessive bleeding?

    • A.

      Increta & Percreta

    • B.

      Normal & Accreta

    • C.

      Accreta & Increta

    • D.

      None of the above

    Correct Answer
    A. Increta & Percreta
    Explanation
    Increta and percreta are both types of abnormal placental implantation where the placenta invades the uterine wall more deeply than normal. This can cause damage to blood vessels in the uterus, leading to excessive bleeding. Normal and accreta, as well as accreta and increta, do not involve the same level of invasion and are therefore less likely to cause excessive bleeding. Therefore, the correct answer is Increta & Percreta.

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