A woman with suspected obstetric haemorrhage needs immediate volume replacement while blood is being arranged. Which fluid is appropriate initially?
Correct answer: A. An isotonic crystalloid solution
- A. An isotonic crystalloid solution
- B. A concentrated glucose solution
- C. A hypotonic saline solution
- D. Sterile water for injection
Explanation
Isotonic crystalloids such as normal saline or Ringer lactate expand the intravascular space during initial resuscitation. Glucose solutions, hypotonic fluids, and sterile water do not provide safe rapid volume replacement.
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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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