Question 1

What can cause Placental abruption?

Accepted Answer

Placental abruption can be caused by several factors, including advanced maternal age, hypertension, and drug use. These conditions can contribute to the premature separation of the placenta from the uterus, leading to potential complications for both the mother and the baby.

Question 2

What is the timeframe in which secondary primary postpartum haemorrhage occur?

Accepted Answer

Secondary postpartum haemorrhage is defined as excessive vaginal bleeding occurring from 24 hours to 12 weeks postpartum, distinguishing it from immediate or primary postpartum haemorrhage that occurs within the first 24 hours after delivery.

Question 3

What is the main reason for postnatal women's admission to intensive care?

Accepted Answer

Obstetric haemorrhage is a leading cause of maternal morbidity and mortality worldwide and is a common reason for postnatal women's admission to intensive care units. It involves significant blood loss that can occur during or after childbirth, necessitating immediate medical attention to prevent severe complications or death.

Question 4

Antepartum haemorrhage (APH) is defined as ______

Accepted Answer

Antepartum haemorrhage (APH) is specifically defined as bleeding from the genital tract occurring after 24 weeks of pregnancy and before the birth of the baby.

Question 5

What are the reasons for primary postpartum haemorrhage?

Accepted Answer

The four T's (Tone, Tissue, Thrombin, Trauma) are the main reasons for primary postpartum haemorrhage, representing uterine atony, retained placental fragments, coagulopathy, and birth canal injuries respectively.

Question 6

Maire is 28 weeks pregnant and has been admitted to your intensive care unit from the maternity ward where she's been monitored for preeclampsia.
-What indications of developing eclampsia should you would observe?

Accepted Answer

Seizures are a definitive indication of eclampsia, which is a severe complication of preeclampsia.

Question 7

Maire is 28 weeks pregnant and has been admitted to your intensive care unit from the maternity ward where she's been monitored for preeclampsia.
-What are the complications of HELLP syndrome?

Accepted Answer

HELLP syndrome, a severe form of preeclampsia, can lead to various complications including disseminated intravascular coagulation, pulmonary edema, and renal failure, among others.

Question 8

Shauna gave birth 5 weeks ago and was rushed into your critical care unit from the emergency department in a collapsed state. She is tachycardic, hypotensive and has a poor urine output. She is peripherally shut down with cold clammy extremities. She is confused and disorientated.
-How long postpartum can a haemorrhage occur?

Accepted Answer

Postpartum hemorrhage can occur up to 8 weeks after giving birth, encompassing both immediate post-delivery bleeding and delayed postpartum hemorrhage.

Question 9

Shauna gave birth 5 weeks ago and was rushed into your critical care unit from the emergency department in a collapsed state. She is tachycardic, hypotensive and has a poor urine output. She is peripherally shut down with cold clammy extremities. She is confused and disorientated.
-Shauna is too ill to breastfeed what should you do?

Accepted Answer

Consulting with her midwife to facilitate expression is important to manage lactation and ensure that Shauna's milk supply is maintained, which can be beneficial for both her and the baby's health. This approach also helps in preventing engorgement and potential mastitis.

Quiz 12: Critical Care Related to Women During Pregnancy and Child-Birth

What can cause Placental abruption?

What is the timeframe in which secondary primary postpartum haemorrhage occur?

What is the main reason for postnatal women's admission to intensive care?

Antepartum haemorrhage (APH) is defined as ______

What are the reasons for primary postpartum haemorrhage?

Maire is 28 weeks pregnant and has been admitted to your intensive care unit from the maternity ward where she's been monitored for preeclampsia. -What indications of developing eclampsia should you would observe?

Maire is 28 weeks pregnant and has been admitted to your intensive care unit from the maternity ward where she's been monitored for preeclampsia. -What are the complications of HELLP syndrome?