Which laboratory pattern is most consistent with disseminated intravascular coagulation in an obstetric emergency?

Correct answer: B. Prolonged clotting time and low fibrinogen

  • A. Shortened clotting time and high fibrinogen
  • B. Prolonged clotting time and low fibrinogen
  • C. Normal clotting time and high platelets
  • D. Low clotting time and high fibrinogen

Explanation

DIC consumes clotting factors and fibrinogen, causing prolonged clotting times and thrombocytopenia. A high fibrinogen level is not the typical pattern in established consumptive coagulopathy.

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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.

Practise Obstetric Emergencies

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