A woman has ongoing postpartum haemorrhage after initial uterotonic treatment. Which medicine reduces bleeding by inhibiting fibrinolysis?
Correct answer: A. Tranexamic acid
- A. Tranexamic acid
- B. Magnesium sulfate
- C. Methylergometrine
- D. Calcium gluconate
Explanation
Tranexamic acid helps stabilize formed clots by reducing fibrinolysis and is used early in postpartum haemorrhage as part of comprehensive treatment. The other medicines have uterine, anticonvulsant, or electrolyte-related actions.
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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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