NUR 145 SAS 13

1.D

Ratio: 4 Main Reasons for Post-Partum Hemorrhage are UTERINE ATONY,TRAUMA/VAGINAL, CERVICAL
& PERINEAL LACERATIONS, HEMATOMA, UTERINE INVERSION/RUPTURE) ,RETAINED PLACENTAL
FRAGMENTS,DEVELOPMENT OF DISSEMINATED INTRAVASCULAR COAGULATION (DIC)

2.B

Ratio: UTERINE ATONY

Definition:Lack of uterine muscle tone or relaxation of the uterus; hemostasis is due to contraction of
the muscles occluding the open vessels

3.D

Ratio: The predisposing factors of Uterine Atony are Predisposing Factors large infant,multiple gestation,
hydramnios,precipitous labor,dysfunctional labor, retained placental fragments, anesthesia, MgSO4,
tocolytics, low platelet count

4.D

Ratio:PERINEAL HEMATOMA-A collection of blood in the subcutaneous layer of the tissue of the
perineum.

5.C

Ratio:RETAINED PLACENTAL FRAGMENTS-Portion of placenta are left still attached to the uterus that
keeps it from contracting fully and uterine bleeding occurs

6.A

Ratio: Contributing Factors:Prolonged Labor,Abnormal presentation,Multiple gestation,Unwise use of

oxytocin, Obstructed Labor and Traumatic Maneuvers of forceps or traction

7.C

Ratio: UTERINE SUBINVOLUTION Failure of the uterus to return to its normal prepregnant size and shape
after pregnancy

8.D

Ratio: A classification of vaginal/perineal laceration wherein the entire perineum, rectal sphincter and
some of the mucous membrane of the rectum is lacerated is letter D which is Fourth Degree Laceration
9.B

Ratio: Second Degree: first-degree laceration involving the vaginal mucosa and perineal body.

10.C

Ratio:Third degree tears involve the external anal sphincter and can be further classified into 3a, 3b and
3c. Fourth degree tears are full-thickness tears through the internal anal sphincter (IAS) and the anal
epithelium.