EMQ

EMQ — Extended Matching Question · Review

Question 220

Delivery suite → Haemorrhage

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Type EEMQ

UUID c43f7046-1918-4b8c-be83-de4fbcec272b

Classification

Speciality

Obstetrics and Gynaecology

Group

Clinical

Title

Delivery suite

Topic

Haemorrhage

Subtopic 1

Antepartum haemorrhage

Subtopic 2

General

Subtopic 3

Fetal assessment

Question Type

EMQ

Question

EEMQ

Question Header

Question Stem

No fetal assessment if maternal observations are normal

Answer Bank

A No fetal assessment if maternal observations are normal

B Ultrasound placental location alone

C Delay fetal assessment until all maternal laboratory results return

D Intermittent maternal pulse assessment as a surrogate for fetal wellbeing

E Assess fetal wellbeing only if bleeding exceeds 500 mL

F Assess fetal wellbeing after maternal assessment and commence appropriate fetal heart monitoring when the fetus is viable

G Perform fetal assessment only after a definitive cause of APH is identified

H Use maternal haemoglobin as the principal measure of fetal compromise

Correct Answer

F. Assess fetal wellbeing after maternal assessment and commence appropriate fetal heart monitoring when the fetus is viable

Explanation

APH assessment includes evaluation of fetal wellbeing once immediate maternal assessment and resuscitative needs have been addressed. In a viable pregnancy, fetal heart monitoring contributes important information about compromise and can influence the urgency and mode of delivery.

Option Validity

A) Normal maternal observations do not guarantee fetal wellbeing.

B) Placental localisation does not constitute adequate fetal assessment.

C) Necessary fetal assessment should not routinely await completion of laboratory investigations.

D) Maternal pulse is not a substitute for fetal heart assessment.

E) Fetal compromise can occur with apparently small visible blood loss.

G) Fetal status helps guide management before the exact cause is necessarily established.

H) Maternal haemoglobin is neither an immediate measure of acute blood loss nor a measure of fetal wellbeing.

Source & metrics

Authored Difficulty

4.00

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Updated

2026-10-06 01:57:35

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