What is the amount of heavy vaginal bleeding in normal delivery that may indicate postpartum hemorrhage?
> 500 mL
> 1000 mL
< 500 mL
< 1000 mL
The Correct Answer is A
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.
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Correct Answer is A
Explanation
Hematocrit is the percentage of red blood cells in the blood.
A decrease in hematocrit indicates blood loss or anemia.Postpartum hemorrhage (PPH) is defined as blood loss of ≥ 500–1000 ml within 24 hours after delivery.PPH can cause a significant drop in hematocrit and hemoglobin levels, which can lead to hypovolemia and shock.A normal hematocrit range for women is 36% to 48%.
Therefore, a hematocrit level below 30% may indicate PPH.
Choice B. Hematocrit > 30% is wrong because it does not indicate a decrease in red blood cell count or blood loss.A hematocrit level above 30% may be normal or indicate dehydration, polycythemia, or other conditions.
Choice C.Hematocrit < 40% is wrong because it is within the normal range for women and does not indicate a significant decrease in red blood cell count or blood loss.
Choice D. Hematocrit > 40% is wrong because it does not indicate a decrease in red blood cell count or blood loss.
A hematocrit level above 40% may be normal or indicate dehydration
Correct Answer is A
Explanation
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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