A 26-year-old woman in her sixth month of pregnancy is brought to the emergency department. She had been punched in the abdomen. She is found to have generalized abdominal pain, tenderness, abdominal distention, ileus, and absent fetal heart sounds. The patient’s blood pressure is 80/60 mm Hg; despite administration of 3 L of Ringer’s lactate, her blood pressure only comes up to 90/60 mm Hg. What is the next step in management?
A 26-year-old woman in her sixth month of pregnancy is brought to the emergency department. She had been punched in the abdomen. She is found to have generalized abdominal pain, tenderness, abdominal distention, ileus, and absent fetal heart sounds. The patient’s blood pressure is 80/60 mm Hg; despite administration of 3 L of Ringer’s lactate, her blood pressure only comes up to 90/60 mm Hg. What is the next step in management?
💡 Explanation
A 26-year-old woman in her sixth month of pregnancy is brought to the emergency department. She had been punched in the abdomen. She is found to have generalized abdominal pain, tenderness, abdominal distention, ileus, and absent fetal heart sounds. The patient's blood pressure is 80/60 mm Hg; despite administration of 3 L of Ringer's lactate, her blood pressure only comes up to 90/60 mm Hg. What is the next step in management?
✓ Correct Answer: D. Exploratory laparotomy with evacuation of the uterus and closure of the uterus disruption
📤 Share this MCQ
Share Card Preview
👆 1080x1080 square card — fills the full width in WhatsApp and Telegram