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Preventing and Treating Hemorrhage Post-Test Evaluation

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What is the most common cause of postpartum hemorrhage?
Trauma to the birth canal
Retained placental tissue
Uterine atony
Coagulopathies
Which of the following is NOT a component of the “Four Ts” used to identify causes of postpartum hemorrhage?
Tone
Trauma
Thrombus
Tissue
What is the FIRST-line medication used to manage uterine atony during postpartum hemorrhage?
Oxytocin (Pitocin)
Misoprostol (Cytotec)
China
Tranexamic acid (TXA)
During a postpartum hemorrhage, which intervention should be prioritized when uterine atony is suspected?
Immediate transfusion of blood products
Administration of tranexamic acid and uterine massage
Administration of uterotonics
Surgical intervention
Which of the following accurately describes active management of the third stage of labor to prevent postpartum hemorrhage?
Waiting for spontaneous placental expulsion before administering any medications
Administering uterotonics immediately after delivery of the placenta
Controlled cord traction & uterotonic administration immediately
Only performing uterine massage if bleeding exceeds 500 ml
A patient continues to bleed heavily despite uterotonics.. Examination reveals a vaginal laceration. What is the next best step?
Administer an additional dose of oxytocin
Perform a bimanual uterine compression
Repair the laceration
Initiate blood product transfusion
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