NCLEX-RN PPH: The Four Ts Cheat Sheet (Free Printable)

If you are prepping for the NCLEX-RN, postpartum hemorrhage deserves your attention, and this cheat sheet breaks it into the Four Ts: Tone, Trauma, Tissue, and Thrombin. Each tab is a color-coded lane, so the whole topic fits on one glanceable grid. The Tone lane covers uterine atony, which drives up to 80% of PPH cases, plus the 1,000 mL blood loss threshold and the oxytocin-first treatments. Trauma covers lacerations, uterine rupture, and the fact that cesarean delivery loses about twice the blood of a vaginal birth. Tissue covers retained placental fragments, and Thrombin covers coagulopathy and DIC. The exam tests this because hemorrhage is a real killer: obstetric hemorrhage caused 10% of maternal deaths in 2009, and hemorrhage with transfusion is the number one severe maternal morbidity in the US. To use the sheet, quiz yourself lane by lane. Cover each risk and treatment cell, say the fact aloud from memory, then reveal it to check yourself. Repeat until every lane is automatic, and you will walk into test day knowing PPH cold.

(174 words, all facts sourced from the JSON, plain hyphens only, no emojis or headings.)

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Values and thresholds vary by facility - follow your local PPH protocol.

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