A primigravida at 36 weeks gestation and her USG reveals reveals a complete placenta pre. Uterus is relaxed but she stas to bleed heavily. All of the following are appropriate next steps, EXCEPT?
Correct Answer: Administer intramuscular terbutaline
Description: Bleeding from a placenta pre, at 36weeks needs no conservation as the lungs are mature after 34 weeks and the patient is almost at term. Terbutaline or any other tocolysis is contraindicated in Placenta pre. Also, It is associated with maternal tachycardia and vasodilation. The actively bleeding patient should be resuscitated with intravenous fluids while blood is being crossmatched for possible transfusion. A Foley catheter should be placed because urinary output is a reflection of the patient's volume status.
Category:
Gynaecology & Obstetrics
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now