A steady trickle of bright red blood from the vagina in the presence of a firm fundus suggests
a. Uterine atony
b. Lacerations of the genital tract
c. Perineal hematoma
d. Infection of the uterus
B
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A The fundus is not firm with uterine atony.
B Undetected lacerations will bleed slowly and continuously. Bleeding from
lacerations is uncontrolled by uterine contraction.
C A hematoma would be internal. Swelling and discoloration would be noticed, but
bright bleeding would not be.
D With an infection of the uterus there would be an odor to the lochia and systemic
symptoms such as fever and malaise.
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