After childbirth, a woman reports severe perineal pressure and pain. Her uterus is firm, but her pulse is rising and only a small amount of blood is visible vaginally. Which complication should the nurse suspect?
Correct answer: A. A concealed genital tract haematoma
- A. A concealed genital tract haematoma
- B. A completely contracted uterus
- C. Normal postpartum lochia
- D. Mild bladder distension
Explanation
A genital tract haematoma can collect blood internally, causing severe pain, pressure, tachycardia, and little visible vaginal bleeding despite a firm uterus. The nurse should urgently assess and notify the obstetric team because blood loss may be concealed.
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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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