Prevention of Postpartum Hemorrhage: Implementing ... - POPPHI

Facilitator’s GuideAlternate Mid-Course Questionnaire: AMTSLInstructions:Read each question carefully before choosing a response. Choose only ONE response foreach question. If you do not understand a question or response, ask one of the facilitatorsto assist you before you respond to the question.MULTIPLE CHOICECircle the best response for each question. Each question is worth 1 point.Scientific evidence1) Which of the following statements describes a disadvantage of physiologicmanagement of the third stage of labor?a) It increases the length of the third stage of labor.b) It does not interfere with the normal process of labor and childbirth.c) It reduces the risk of PPH.d) It reduces average amount of blood loss.2) Which of the following statements describes an advantage of AMTSL?a) It requires the presence of a skilled birth attendant who can administer injections.b) It reduces the amount of blood loss after childbirth.c) It increases the risk of PPH during the third stage of labor.d) It increases the length of the third stage of labor.Review of uterotonic drugs3) Under ideal condition, oxytocin should be stored :a) In a refrigerator, between 2–8°Cb) In an open kidney dish in the delivery roomc) In a drawer in the midwife’s officed) in a coat pocket to facilitate its use4) Which of the following statements about augmentation of labor is false :a) Labor should be augmented only if clear emergency or obstetric conditions arepresent, and a physician is readily available to perform a cesarean delivery shouldcomplications arise.b) If a woman requires augmentation of labor, she should be immediately referred to ahealth care facility with the capacity to perform a cesarean operation.c) Oxytocin can be safely administered IM in labor if accompanied by an antispasmodicmedicationd) If oxytocin is used for labor augmentation, it should be administered by controlled IVdrip in a health facility that has an operating theater and qualified physician toperform an emergency caesarean operationPrevention of Postpartum Hemorrhage: Implementing Active Management of the Third Stage of Labor 23