FREE NARM Emergency and Complication Management Questions and Answers
Which is the first action a midwife should take if a patient experiences a postpartum hemorrhage?
The first action in managing postpartum hemorrhage is to assess the uterine tone and administer uterotonics (e.g., oxytocin) to help the uterus contract and reduce bleeding. Immediate assessment and management are crucial to control hemorrhage before considering other interventions.
What is the primary intervention for managing shoulder dystocia during vaginal delivery?
The McRoberts maneuver (flexing the mother’s legs towards her abdomen) combined with suprapubic pressure is the primary intervention for managing shoulder dystocia. These techniques help to resolve the impaction of the fetal shoulder and facilitate delivery.
Which condition is characterized by severe hypertension and proteinuria during pregnancy and requires immediate medical intervention?
Eclampsia is characterized by severe hypertension and proteinuria and is a serious condition that can lead to seizures. Immediate medical intervention is required to manage the condition, including the administration of magnesium sulfate and careful monitoring.
What is the recommended management for a patient presenting with a prolonged rupture of membranes (PROM) and signs of infection?
For a patient with a prolonged rupture of membranes and signs of infection, the recommended management includes starting broad-spectrum intravenous antibiotics to prevent or treat infection and closely monitoring the patient and fetus. Induction of labor may also be considered, but antibiotics are the primary intervention to address the infection.
What is the appropriate initial management for a newborn presenting with respiratory distress immediately after birth?
For a newborn with respiratory distress immediately after birth, the appropriate initial management is to provide positive pressure ventilation to ensure adequate oxygenation and breathing. Other interventions, such as administering antibiotics or performing a CBC, may be necessary based on further assessment, but ventilation is critical for addressing immediate respiratory issues.