Fairly easy

A woman with postpartum haemorrhage is pale, confused, and has a blood pressure of 80/50 mmHg. Her airway is patent. Which action best supports circulation?

Correct answer: A. Insert two large-bore intravenous cannulas

  • A. Insert two large-bore intravenous cannulas
  • B. Give an oral iron tablet with water
  • C. Keep her sitting upright without monitoring
  • D. Delay treatment until the haemoglobin result returns

Explanation

The findings indicate hypovolaemic shock, so rapid vascular access is needed for isotonic fluids, blood products, and emergency medicines. Treatment must not wait for a laboratory result, and oral iron cannot correct acute 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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