What is the amount of heavy vaginal bleeding in cesarean delivery that may indicate postpartum hemorrhage?
> 500 mL
> 1000 mL
< 500 mL
< 1000 mL
The Correct Answer is A
Heavy vaginal bleeding in cesarean delivery that may indicate postpartum hemorrhage is more than 500 mL.
Postpartum hemorrhage (PPH) is severe bleeding and loss of blood after childbirth. It’s a serious and dangerous condition that can lead to death.
Choice B is wrong because more than 1000 mL of blood loss is too high for the definition of PPH after cesarean delivery.
Choice C is wrong because less than 500 mL of blood loss is normal after cesarean delivery.
Choice D is wrong because less than 1000 mL of blood loss is not considered heavy bleeding after cesarean delivery.
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Correct Answer is A
Explanation
Heavy vaginal bleeding in normal delivery that may indicate postpartum hemorrhage is more than 500 mL.
Postpartum hemorrhage (PPH) is a serious condition that can lead to death if not treated promptly.It is caused by the uterus not contracting properly or by retained placenta fragments or damage to the reproductive organs.
Choice B is wrong because more than 1000 mL of blood loss is the definition of PPH after a cesarean delivery, not a vaginal delivery.
Choice C is wrong because less than 500 mL of blood loss is normal after a vaginal delivery and does not indicate PPH.
Choice D is wrong because less than 1000 mL of blood loss is normal after a cesarean delivery and does not indicate PPH.
Correct Answer is B
Explanation
relaxed uterus may indicate internal bleeding in postpartum hemorrhage.This is because the uterus is not contracting properly to compress the blood vessels where the placenta was attached, leading to excessive blood loss.A relaxed uterus is also known as uterine atony, which is the most common cause of postpartum hemorrhage.
Choice A is wrong because a tense and rigid uterus may indicate retained placenta or uterine clot, which are other causes of postpartum hemorrhage.
These conditions prevent the uterus from contracting fully and expelling the placental fragments or clots.
Choice C is wrong because a soft uterus is similar to a relaxed uterus and may also indicate internal bleeding in postpartum hemorrhage.
Choice D is wrong because a normal uterus is not a sign of postpartum hemorrhage.A normal uterus should be firm and contracted after delivery to prevent excessive bleeding.
Normal ranges for blood loss after delivery are less than 500 mL for vaginal delivery and less than 1000 mL for cesarean delivery.Postpartum hemorrhage is defined as blood loss of more than these amounts or blood loss accompanied by signs of hypovolemia within 24 hours of delivery.
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