A woman with postpartum haemorrhage has a blood pressure of 170/110 mmHg. Which medicine should the nurse question before it is given?
Correct answer: C. Methylergonovine
- A. Oxytocin
- B. Misoprostol
- C. Methylergonovine
- D. Tranexamic acid
Explanation
Methylergonovine causes strong uterine contraction and systemic vasoconstriction, so it is avoided in severe hypertension. Oxytocin and misoprostol are uterotonic options without this same hypertension contraindication. Tranexamic acid reduces fibrinolysis rather than causing vasoconstriction.
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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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