Practice Quiz

CPM Certified Professional Midwife

Category - The Postpartum Period

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A woman who delivered two hours previously at home is diagnosed with a retained placenta. She presents via ambulance with severe vaginal bleeding. Of the following which is the possible management of her complication?
  1. Catheterization of bladder
  2. Manual removal of placenta
  3. Blood transfusion
  4. All of the above
Explanation
Answer: D - All of the above

The placenta is normally delivered soon after the birth of the newborn. The reasons for placental retainment by the patient include: 1) the uterus has stopped contracting; 2) all or part of the placenta is afixed to the uterine wall; 3) the placenta is prevented from expulsion by the cervix; and 4) patient has a full bladder.

Management for retained placenta includes:
1. Rapid assessment (i.e., performing a uterine massage)
2. Blood transfusion
3. Catheterization of bladder
4. Manual removal of the placenta
5. Initiation of broad spectrum antibiotics
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