POSTPARTUM HEMORRHAGE REVISIO EXAM 2025/2026
QUESTIONS WITH ANSWERS GRADED A+
✔✔Results in very strong uterine contractions and eventual fatigue - ✔✔Over massage
of the uterus
✔✔Blood normally clots within ______________ - ✔✔5 minutes
✔✔If fails to clot within ___________ - clotting defect. - ✔✔7 minutes
✔✔_______________ to stimulate uterine contractions and to express clots that have
accumulated in the uterus or vagina. - ✔✔Massage uterine fundus
✔✔Causes very strong uterine contractions, too painful for patient - ✔✔Forceful uterine
massage
✔✔______________ is the most common cause of displaced fundus (to the side) -
✔✔Distended Bladder
✔✔Make the newly delivered woman void every ___________. If unsuccessful,
catheterize with doctor's order - ✔✔2 hours
✔✔Administer __________ to stimulate uterine contractions. - ✔✔uterotonics
✔✔___________ 1st drug of choice for postpartum uterine atony. Also known
as________________ - ✔✔Oxytocin, Methylergonovine Maleate
✔✔Place ________ on the _______ and make it go down as far as possible behind the
uterus. Place _________ flat on the abdomen between the ________ and the
____________. Press hands toward each other to compress uterus, thereby sealing
blood vessels at the placental site.
Process is known as? - ✔✔left hand, fundus, right hand, umbilicus and the symphysis
pubis.
External bimanual compression.
✔✔1 hand massages ___________ aspect of uterus through abdomen, other hand
massages the ___________ through vagina. Continue compression until bleeding is
controlled and uterus contracts. Uterus is raised from pelvis, compressed between
hands to expel clots & decrease bleeding Physician may administer analgesia /
anesthesia to reduce discomfort associated with bimanual compression, may insert
uterine packing to control bleeding.
, Process is known as? - ✔✔posterior, anterior fornix
Internal bimanual compression and massage
✔✔1 hand applies pressure above ________ slightly to the __________, other 1
palpates ____________. Apply pressure on ____________ until __________ is no
longer felt. Process is known as? - ✔✔umbilicus, left, femoral pulse, abdominal aorta,
femoral pulse
Manual compression of the aorta
✔✔Last resort if bleeding cannot be controlled. - ✔✔Hysterectomy
✔✔Results from over stretching / too rapid stretching of tissues, especially if poorly
extensile & rigid - ✔✔LACERATIONS
✔✔Irregular tearing caused by blunt object. - ✔✔LACERATIONS
✔✔Associated value with macrosomia - ✔✔(↑ 9 lbs)
✔✔This position is associated with lacerations. - ✔✔Lithotomy position
✔✔Limited to vaginal mucosa and skin of the introitus. - ✔✔First Degree
✔✔Extends to the fascia and muscles of the perineal body - ✔✔Second Degree
✔✔Trauma involves the anal spincter - ✔✔Third Degree
✔✔Extends to the rectal lumen, through the rectal mucosa - ✔✔Fourth Degree
✔✔May be applied to help stop bleeding and maintain placement of suture (3rd and 4th
degree laceration to maintain pressure on suture line. - ✔✔Vaginal packing
✔✔Apply ice compress during _____________________. - ✔✔1st 24 hours postpartum
✔✔Heat application, Sitz bath and perilight is done __________. - ✔✔after 24 hours
only.
✔✔Collection of blood under the skin due to injury to blood vessels during instrumental
delivery or during repair of episiotomy by needle prick. - ✔✔HEMATOMAS
✔✔Two types of hematoma. - ✔✔Genital Hematomas, Retroperitoneal Hematomas
QUESTIONS WITH ANSWERS GRADED A+
✔✔Results in very strong uterine contractions and eventual fatigue - ✔✔Over massage
of the uterus
✔✔Blood normally clots within ______________ - ✔✔5 minutes
✔✔If fails to clot within ___________ - clotting defect. - ✔✔7 minutes
✔✔_______________ to stimulate uterine contractions and to express clots that have
accumulated in the uterus or vagina. - ✔✔Massage uterine fundus
✔✔Causes very strong uterine contractions, too painful for patient - ✔✔Forceful uterine
massage
✔✔______________ is the most common cause of displaced fundus (to the side) -
✔✔Distended Bladder
✔✔Make the newly delivered woman void every ___________. If unsuccessful,
catheterize with doctor's order - ✔✔2 hours
✔✔Administer __________ to stimulate uterine contractions. - ✔✔uterotonics
✔✔___________ 1st drug of choice for postpartum uterine atony. Also known
as________________ - ✔✔Oxytocin, Methylergonovine Maleate
✔✔Place ________ on the _______ and make it go down as far as possible behind the
uterus. Place _________ flat on the abdomen between the ________ and the
____________. Press hands toward each other to compress uterus, thereby sealing
blood vessels at the placental site.
Process is known as? - ✔✔left hand, fundus, right hand, umbilicus and the symphysis
pubis.
External bimanual compression.
✔✔1 hand massages ___________ aspect of uterus through abdomen, other hand
massages the ___________ through vagina. Continue compression until bleeding is
controlled and uterus contracts. Uterus is raised from pelvis, compressed between
hands to expel clots & decrease bleeding Physician may administer analgesia /
anesthesia to reduce discomfort associated with bimanual compression, may insert
uterine packing to control bleeding.
, Process is known as? - ✔✔posterior, anterior fornix
Internal bimanual compression and massage
✔✔1 hand applies pressure above ________ slightly to the __________, other 1
palpates ____________. Apply pressure on ____________ until __________ is no
longer felt. Process is known as? - ✔✔umbilicus, left, femoral pulse, abdominal aorta,
femoral pulse
Manual compression of the aorta
✔✔Last resort if bleeding cannot be controlled. - ✔✔Hysterectomy
✔✔Results from over stretching / too rapid stretching of tissues, especially if poorly
extensile & rigid - ✔✔LACERATIONS
✔✔Irregular tearing caused by blunt object. - ✔✔LACERATIONS
✔✔Associated value with macrosomia - ✔✔(↑ 9 lbs)
✔✔This position is associated with lacerations. - ✔✔Lithotomy position
✔✔Limited to vaginal mucosa and skin of the introitus. - ✔✔First Degree
✔✔Extends to the fascia and muscles of the perineal body - ✔✔Second Degree
✔✔Trauma involves the anal spincter - ✔✔Third Degree
✔✔Extends to the rectal lumen, through the rectal mucosa - ✔✔Fourth Degree
✔✔May be applied to help stop bleeding and maintain placement of suture (3rd and 4th
degree laceration to maintain pressure on suture line. - ✔✔Vaginal packing
✔✔Apply ice compress during _____________________. - ✔✔1st 24 hours postpartum
✔✔Heat application, Sitz bath and perilight is done __________. - ✔✔after 24 hours
only.
✔✔Collection of blood under the skin due to injury to blood vessels during instrumental
delivery or during repair of episiotomy by needle prick. - ✔✔HEMATOMAS
✔✔Two types of hematoma. - ✔✔Genital Hematomas, Retroperitoneal Hematomas
