After birth, a person has increasing bleeding and a soft, enlarged uterus. Which cause is most likely, although other causes must also be checked?
4 Postpartum Emergencies Online Quiz Questions
Use this free practice quiz with 20 questions to review 4 Postpartum Emergencies, test your knowledge, and prepare for your next test or exam.
A person develops fever, chills, uterine tenderness, and foul-smelling vaginal discharge after birth. Which complication best fits this pattern?
- A
Endometritis
- B
Deep-vein thrombosis
- C
Postpartum preeclampsia
- D
Uterine inversion
Which postpartum blood pressure reading, even without other symptoms, requires immediate evaluation according to the material?
- A
120/80 mm Hg
- B
140/90 mm Hg
- C
160/110 mm Hg
- D
100/60 mm Hg
Which findings can be warning signs of postpartum sepsis? Select all that apply.
- A
Confusion
- B
Mild thirst after a meal
- C
Reduced urination
- D
Cold, clammy skin
- E
A fever must be present
- F
Fast breathing
Which symptoms are identified as reasons to call emergency services after birth? Select all that apply.
- A
Fainting
- B
A small bruise without other symptoms
- C
Trouble breathing
- D
A mildly sore arm
- E
Severe bleeding
- F
Chest pain
Postpartum preeclampsia can occur even if a person did not have high blood pressure during pregnancy.
- A
True
- B
False
A person who may have postpartum sepsis cannot have sepsis if they do not have a fever.
- A
True
- B
False
What is the blood-loss threshold, in mL, used in the definition of postpartum hemorrhage within 24 hours after birth? Enter the number only.
What is the most common cause of postpartum hemorrhage? Enter the cause name.
The 4 Ts used to organize causes of postpartum hemorrhage are tone, trauma, tissue, and .
Heavy postpartum bleeding can also occur later, up to after birth.
A person has heavy bleeding after birth and the uterus feels soft. Describe the coordinated clinical response, including initial assessment, measures to control bleeding, and how clinicians investigate the cause.
The placenta has not been delivered after the baby is born. Which response is appropriate?
- A
Wait for a routine postpartum visit because the placenta will not affect bleeding
- B
Attempt manual removal at home
- C
Use only home observation unless fever develops
- D
Arrange urgent assessment and skilled obstetric management
Which clot-related emergency can cause sudden shortness of breath and chest pain after birth?
- A
Postpartum endometritis
- B
Pulmonary embolism
- C
Retained placental fragments
- D
Uterine atony
In the “4 Ts” framework for postpartum hemorrhage, which cause category represents a blood-clotting problem?
A postpartum patient is diagnosed with an infection involving the uterus. What is the medical term for this condition?
Serious pregnancy-related complications can occur during the year after delivery, not only during the first six weeks.
- A
True
- B
False
A person recently gave birth and is bleeding enough to soak through a pad in an hour. What is the most appropriate next step?
- A
Wait for the next routine postpartum visit if there is no pain.
- B
Seek urgent medical care.
- C
Monitor the bleeding at home for several days before seeking care.
- D
Schedule a routine appointment for the following month.
The placenta has not been delivered after the baby is born. What is the safest response?
- A
Wait for a routine postpartum visit unless pain develops.
- B
Attempt manual removal outside a clinical setting.
- C
Arrange urgent assessment and skilled obstetric management.
- D
Treat at home with fluids and reassess the next day.
After birth, a patient has increasing bleeding and a soft, enlarged uterus. Which interpretation is most appropriate?
- A
Uterine atony is likely, but other causes must also be assessed.
- B
A clotting problem is confirmed, so no other assessment is needed.
- C
Retained tissue is confirmed, so trauma can be ruled out.
- D
The soft uterus means the bleeding is not an emergency.