A woman in late pregnancy suddenly becomes pulseless in the hospital. Which action should the emergency team take immediately?

Correct answer: A. Begin CPR with manual left uterine displacement

  • A. Begin CPR with manual left uterine displacement
  • B. Wait for fetal monitoring before starting CPR
  • C. Place the woman in a fully supine position
  • D. Give oral fluids before assessing circulation

Explanation

High-quality CPR must begin immediately, while manual left uterine displacement reduces aortocaval compression from the gravid uterus. Waiting for fetal monitoring or giving fluids delays treatment of maternal cardiac arrest, and a fully supine position can worsen venous obstruction.

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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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