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b.  An increase in the pulse from 88 to 102 BPM

                   c.  An increase in the respiratory rate from 18 to 22 breaths per minute

                   d.  A blood pressure change from 130/88 to 124/80 mm Hg

                   8. What are the 4 “T’s” of postpartum hemorrhage?

                   1. Trauma

                   2. Toxins

                   3. Travel

                   4. Tissue

                   5. Threads

                   6. Thrombin

                   7. Tears

                   8. Tone

                   A.     1, 4, 6 & 8

                   B.     1, 5 7 & 8

                   C.     1, 2, 3 & 6

                   D.     3, 4, 5 & 6

                   9. Which of the following circumstances is most likely to cause uterine

                   atony and lead to Postpartum hemorrhage?



                  a.  Hypertension

                   b. Cervical and vaginal tears

                   c. Urine retention

                   d. Endometritis

                   10.  Abdominal examination of postpartum  mother  with a tonic

                   postpartum hemorrhage reveals what?

                   a. The uterus is larger than expected, soft

                   b. The uterus is smaller than expected, soft

                   c. The uterus is corresponding with what is expected, hard



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