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step2ck_form8/Block 3/Question#33 (5.2 difficulty score)
A 37-year-old woman, gravida 4, para 4, has ...
Genital tract laceration๐Ÿ”,๐Ÿ“บ

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submitted by step_prep2(22),
  • Most common cause of post-delivery bleeding is uterine atony (especially in setting of prolonged, difficult delivery), but the uterine fundus would be described as soft and boggy rather than firm; therefore the next most common cause given that the placenta has been delivered would be trauma (especially with difficult delivery)
  • Causes of post-delivery bleeding is 4 Tโ€™s: (1) aTony (most common) (2) Trauma (3) Thrombin (coagulopathy) (4) Tissue (retained placenta, etc.)

submitted by jlbae(69),

What would make normal lochia the correct answer? Please help I suck at ob/gyn. Am I at the character limit yet?