A woman at a basic health unit continues to bleed heavily despite uterine massage and initial treatment. What is the most appropriate next action?
Correct answer: A. Arrange urgent referral while continuing resuscitation
- A. Arrange urgent referral while continuing resuscitation
- B. Send her home after advising bed rest
- C. Wait for bleeding to stop before contacting a referral centre
- D. Transfer her without intravenous access or monitoring
Explanation
Persistent postpartum haemorrhage requires urgent referral to a facility with blood products, surgery, and specialist obstetric care. Resuscitation, intravenous access, monitoring, and communication with the receiving facility should continue during transfer.
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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.
Practise Obstetric Emergencies
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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