A woman with severe obstetric haemorrhage becomes increasingly drowsy while oxygen is being given. Her breathing is shallow and ineffective. Which action has the highest priority?

Correct answer: A. Open the airway and assist ventilation

  • A. Open the airway and assist ventilation
  • B. Measure her temperature again
  • C. Offer sips of clear water
  • D. Document the estimated blood loss

Explanation

An ineffective airway and breathing problem takes priority under the ABC approach, even when haemorrhage is also present. Airway opening and assisted ventilation restore oxygen delivery, whereas temperature measurement, oral fluids, and documentation must wait until breathing is supported.

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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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