A woman has heavy bleeding after vaginal birth. Her uterus feels soft and boggy. Which action should the nurse take first?
Correct answer: B. Massage the uterine fundus and call for help
- A. Apply firm pressure over the lower abdomen
- B. Massage the uterine fundus and call for help
- C. Insert a urinary catheter without further assessment
- D. Place an ice pack over the perineum
Explanation
A boggy uterus suggests uterine atony, a common cause of postpartum haemorrhage. Fundal massage promotes uterine contraction while help is summoned; an ice pack does not treat uterine atony.
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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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