The placenta remains undelivered and bleeding continues even though the uterus is contracted. What is the priority nursing action?
Correct answer: B. Prepare the woman for urgent controlled manual removal
- A. Encourage breastfeeding to increase uterine contraction
- B. Prepare the woman for urgent controlled manual removal
- C. Apply an abdominal binder and observe the blood loss
- D. Ask the woman to walk to help deliver the placenta
Explanation
An undelivered placenta with ongoing bleeding may cause severe postpartum haemorrhage and requires urgent obstetric management. The nurse prepares for controlled manual removal, usually with analgesia or anaesthesia, while supporting circulation. Walking or an abdominal binder is unsafe and ineffective in this emergency.
Report an error
The more specific you are, the faster it gets fixed. A source beats an opinion.
Prefer email? support@testustad.com
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.
Practise Obstetric Emergencies
50 free Obstetric Emergencies MCQs from Midwifery and Obstetric Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
Discussion
Stuck on an option, or know a faster way to get there? Ask or explain it here.
No comments yet. Be the first to explain this one.
Exams that ask Midwifery and Obstetric Nursing questions like this
Midwifery and Obstetric Nursing is on 9 papers prepared for on TestUstad, and all of them draw the same bank, so this question is worth knowing for every one of them.
More Obstetric Emergencies questions
After birth, the uterus is firm but bright-red bleeding continues. Which action should the nurse take next?
A woman at a basic health unit continues to bleed heavily despite uterine massage and initial treatment. What is the most appropriate next action?
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?
A woman suddenly develops severe pelvic pain after birth, and a red mass is visible at the vaginal opening. She is pale and hypotensive. Which action is most appropriate?
A woman with postpartum haemorrhage has a blood pressure of 170/110 mmHg. Which medicine should the nurse question before it is given?
Which uterotonic medicine should the nurse question for a woman with postpartum haemorrhage and severe asthma?