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A woman develops pallor, restlessness, and a pulse of 118 beats per minute after childbirth. Her blood pressure is still normal. Which finding most strongly suggests early obstetric shock?

Correct answer: A. A rising maternal pulse rate

  • A. A rising maternal pulse rate
  • B. A mild increase in urine output
  • C. A warm flushed maternal skin
  • D. A regular respiratory rate

Explanation

Tachycardia is often an early compensatory response to blood loss, before hypotension appears. A normal blood pressure does not exclude developing shock, so the nurse should start urgent assessment and escalation.

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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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