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NURSl 306/l NURS306l Finall Examl –l OBl |l WCUl (Latestl 2026/l 2027l Update)l 100%l Verifiedl Questionsl &l Answersl |l Gradel A
Q:l Whatl isl PPHl definedl as?
Answer:
Bloodl lossl greaterl thanl 500l mLl forl vaginall deliveriesl andl greaterl thanl 1000l mLl forl c- sectionl WITHl al 10%l dropl inl HGBl orl HCT
Q:l Whatl causesl primaryl PPH?
Answer:
4l T'sl (tone,l tissue,l trauma,l thrombinl disorders)
Q:l Whatl arel manifestationsl ofl primaryl PPH?
Answer:
10%l decreasel inl H&H Saturatedl padl inl 15l mins Boggyl fundus Tachy Decreasedl BP
Q:l Whatl arel causesl ofl secondaryl PPH?
Answer:
Hematomas Subinvolutionl (notl healingl properly) Retainedl placental tissue
Q:l Whatl arel riskl factorsl forl hemorrhage?
Answer:
Neonatall macrosmoia 1 / 4
Highl parity Hxl ofl pppl hemorrhage Operativel vaginall delivery Augmentationl orl induction Chorio Obesity Coagulationl defects Obesity Coagl disorders
Q:l Whatl isl uterinel atony?
Answer:
Decreasedl tonel ofl thel uterinel muscle
Q:l Whatl arel riskl factorsl ofl uterinel atony?
Answer:
Relaxedl uterusl =l lessl constrictedl vesselsl (macrosomia,l poly,l tiredl uterusl froml augmentation)
Q:l Whatl arel assessmentl findingsl ofl uterinel atony?
Answer:
Softl uterus Saturationl inl 15l mins Slowl andl steadyl bleeding Bloodl clots Palel andl clammyl skin Anxiety Tachycardia Hypotension
Q:l Whatl arel thel medsl forl uterinel atony?
Answer:
Pitocin Cytotec 2 / 4
Methergine Hemabate-l tol stimulatel UCs
Q:l Whatl isl thel surgicall interventionl forl uterinel atony?
Answer:
Hysterectomy
Q:l Whatl arel nursingl actionsl forl uterinel atony?
Answer:
Uterinel massage Riskl reductionl byl looselyl monitoringl bleeding,l VS,l andl fundall checks
Q:l Inl regardsl withl thel 4l T's,l whatl isl tissuel relatedl to?
Answer:
Placental tissue
Q:l Whatl isl al medicall factorl forl tissuel inl regardsl tol thel 4l T's?
Answer:
Retainedl orl abnormall placenta
Q:l Whatl isl arel thel signsl andl symptomsl forl tissuel inl regardsl tol thel 4l T's?
Answer:
Uterusl mayl notl respondl tol interventions Uterusl mayl remainl largerl thanl normal Stringsl ofl tissuel mayl bel seenl inl blood
Q:l Whatl isl arel thel nursingl actionsl forl tissuel inl regardsl tol thel 4l T's?
Answer:
Calll providerl tol assessl D&Cl mayl bel needed Monitorl forl signsl ofl shock Administerl oxygenl ifl indicatedl (lessl thanl 95%) 3 / 4
Q:l Whatl arel thel twol differentl traumasl inl regardsl tol thel 4l T's?
Answer:
Lacerationsl andl hematoma
Q:l Whatl arel signsl andl symptomsl ofl lacerations?
Answer:
Firml uterusl withl continuedl bleeding Steadyl tricklel ofl unclotted,l brightl redl blood
Q:l Whatl arel thel nursingl actionsl forl laceraitons?
Answer:
Calll providerl tol evaluate,l locate,l andl repairl lacerations Monitorl VSl andl lochia Weighl padsl andl chuxl tol monitorl bloodl loss
Q:l Whatl arel signsl andl symptomsl ofl hematoma?
Answer:
Firml uterus Suddenl onsetl ofl painfull perineall pressure Bulgingl areal justl underl thel skin Difficultyl voidingl orl sitting
Q:l Whatl arel thel nursingl actionsl forl hematomas?
Answer:
Assessl forl visiblel hematoma Calll providerl tol assess Anticipatel possiblel excretionl andl ligationl ifl greaterl thanl 3l cm Considerl indwellingl catheter Continuel tol assessl VS,l bloodl loss,l andl fluidl maintenance Providel painl management,l includingl icel tol thel area
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