CPM Certified Professional Midwife

Category - Labor, Birth, and Immediate Postpartum

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A 30 years old pregnant woman reports a history of amenorrhea for 37 weeks with “blood loss per vaginam” (P/V) bleeding for the past 8 hours. How will you manage her?

Bed rest with bathroom privileges
Iron, folic acid, and zinc supplement
Blood transfusion
All of the above

Explanation

Answer: D - All of the above

This is a case of placenta previa. Recommended management includes the following:
1) Bed rest with bathroom privileges
2) Iron, folic acid, and zinc supplement
3) Nothing by mouth
4)Wide bore I.V. cannula
5) Intravenous infusion
6) Blood transfusion
7) Catheterization
8) Monitoring

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