Which uterotonic medicine should the nurse question for a woman with postpartum haemorrhage and severe asthma?
Correct answer: B. Carboprost
- A. Oxytocin
- B. Carboprost
- C. Misoprostol
- D. Tranexamic acid
Explanation
Carboprost can cause bronchospasm and is avoided or used with great caution in women with asthma. Oxytocin and misoprostol are not prostaglandin F2 alpha agonists and are commonly considered alternatives. Tranexamic acid is an antifibrinolytic, not a uterotonic.
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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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