The perinatal nurse caring for the postpartum woman understands that late postpartum hemorrhage is most likely caused by

Question

a. Subinvolution of the uterus
b. Defective vascularity of the decidua
c. Cervical lacerations
d. Coagulation disorders

Answer 1

A
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A Late PPH may be the result of subinvolution of the uterus. Recognized causes of
subinvolution included retained placental fragments and pelvic infection.
B Although defective vascularity of the decidua may cause PPH, late PPH typically
results from subinvolution of the uterus, pelvic infection, or retained placental
fragments.
C Although cervical lacerations may cause PPH, late PPH typically results from
subinvolution of the uterus, pelvic infection, or retained placental fragments.
D Although coagulation disorders may cause PPH, late PPH typically results from
subinvolution of the uterus, pelvic infection, or retained placental fragments.