A woman in labour has severe abdominal pain, vaginal bleeding, a tender uterus, and a non-reassuring fetal heart rate. Placental abruption is suspected. Which preparation is the priority after rapid maternal assessment?
Correct answer: A. Prepare for urgent birth and blood replacement
- A. Prepare for urgent birth and blood replacement
- B. Encourage walking to improve labour progress
- C. Perform repeated digital vaginal examinations
- D. Delay intervention until bleeding becomes visible
Explanation
Placental abruption can cause concealed maternal haemorrhage and fetal compromise, so the team should prepare for urgent birth while supporting circulation and arranging blood. Walking, repeated examinations, and waiting for more visible bleeding can delay life-saving treatment.
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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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