A pregnant woman with suspected haemorrhagic shock is placed supine and becomes more breathless and hypotensive. Which position is preferable while circulation is supported?
Correct answer: A. Left lateral position with appropriate leg support
- A. Left lateral position with appropriate leg support
- B. Fully upright position with the legs hanging down
- C. Prone position with the abdomen unsupported
- D. Flat supine position with a pillow under the neck
Explanation
The enlarged uterus can compress the inferior vena cava when the woman lies flat, reducing venous return and cardiac output. Left lateral positioning improves venous return while oxygen, intravenous access, fluids, and definitive treatment are provided. Prone positioning is unsafe and upright sitting may reduce cerebral perfusion in shock.
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About Obstetric Emergencies
Acute threats to the mother or fetus include postpartum haemorrhage, eclampsia, shock, cord prolapse, shoulder dystocia, uterine rupture, amniotic fluid embolism and fetal distress. The subject covers rapid assessment, airway and circulation support, emergency medicines, positioning, preparation for assisted or operative birth, and coordinated referral.
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50 free Obstetric Emergencies MCQs from Midwifery and Obstetric Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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