A woman has persistent postpartum haemorrhage from suspected uterine atony despite uterine massage and uterotonic medicines. There is no evidence of uterine rupture or retained placenta. Which treatment should the nurse prepare for while urgent help is arranged?
Correct answer: A. Uterine balloon tamponade
- A. Uterine balloon tamponade
- B. Routine vaginal examination
- C. Oral iron replacement
- D. Immediate pelvic floor exercises
Explanation
A uterine balloon tamponade can apply pressure inside the uterus and control severe atonic bleeding when initial treatment is unsuccessful. Oral iron and exercises do not treat active haemorrhage, while examination alone cannot control ongoing blood loss.
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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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