Chapter 41: Obstetrical Hemorrhage

Obstetrical Hemorrhage

Which of the following is true of obstetrical hemorrhage?

a. It is the leading cause of maternal death worldwide.

b. It is no longer a leading cause of maternal death in the United States.

c. Only 5% of maternal deaths in the United States are due to obstetrical hemorrhage.

d. All of the above

a. Introduction

Given the diagram shown here, what can be said regarding blood loss at delivery?

Reproduced with permission from Cunningham FG, Leveno KJ, Bloom SL, et al (eds): Maternal physiology. In Williams Obstetrics, 24th ed. New York, McGraw-Hill, 2014, Figure 41-1.

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a. It is common to lose more than 500 mL with vaginal delivery.

b. It is common to lose more than 1000 mL with cesarean delivery.

c. It is common to lose more than half of maternal blood volume with cesarean hysterectomy.

d. All of the above

d. Definition and Incidence

For a woman measuring 5 ft 0 in. and 120 lb, what is her expected pregravid blood volume?

a. 3000 mL

b. 3250 mL

c. 3500 mL

d. 3800 mL

a. Table 41-1

Given the diagram shown here. Assuming a 50% increase in blood volume during normal pregnancy, what would the blood volume of the woman approximate at 38 weeks’ gestation?

Reproduced with permission from Cunningham FG, Leveno KJ, Bloom SL, et al (eds): Maternal physiology. In Williams Obstetrics, 24th ed. New York, McGraw-Hill, 2014, Figure 41-1.

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a. 4000 mL

b. 4500 mL

c. 5250 mL

d. 5700 mL

b. Table 41-1

Midtrimester bleeding is associated with which of the following?

a. Placenta previa

b. Placental abruption

c. Higher ...

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