After birth, the uterus is firm but bright-red bleeding continues. Which action should the nurse take next?
Correct answer: B. Inspect the birth canal and prepare for laceration repair
- A. Continue uterine massage for another 30 minutes
- B. Inspect the birth canal and prepare for laceration repair
- C. Apply firm pressure over the woman’s lower abdomen
- D. Give oral fluids and reassess the bleeding later
Explanation
A firm uterus with ongoing bright-red bleeding suggests trauma to the cervix, vagina, or perineum rather than uterine atony. The nurse should call the obstetric team, inspect as directed, and prepare for repair. Massage is unlikely to stop bleeding from a laceration.
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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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