A woman suddenly develops severe pelvic pain after birth, and a red mass is visible at the vaginal opening. She is pale and hypotensive. Which action is most appropriate?
Correct answer: B. Call for emergency help and prepare for uterine replacement
- A. Pull gently on the visible mass to remove it
- B. Call for emergency help and prepare for uterine replacement
- C. Massage the abdomen until the mass disappears
- D. Place the woman upright and offer clear fluids
Explanation
The findings indicate uterine inversion, which can cause rapid haemorrhagic shock. Emergency help is required, with airway and circulation support while the clinician prepares immediate uterine replacement. Pulling the mass or removing the placenta can worsen bleeding and injury.
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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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