EMQ

EMQ — Extended Matching Question · Review

Question 222

Delivery suite → Haemorrhage

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Destination Site

Type EEMQ

UUID 40543723-9378-4e92-a536-2491cea62ba4

Classification

Speciality

Obstetrics and Gynaecology

Group

Clinical

Title

Delivery suite

Topic

Haemorrhage

Subtopic 1

Antepartum haemorrhage

Subtopic 2

Major haemorrhage

Subtopic 3

Delivery

Question Type

EMQ

Question

EEMQ

Question Header

Question Stem

Continue pregnancy regardless of fetal status until maternal haemoglobin falls

Answer Bank

A Continue pregnancy regardless of fetal status until maternal haemoglobin falls

B Delay delivery until ultrasound demonstrates the bleeding source

C If maternal or fetal compromise is present, expedite delivery while continuing maternal resuscitation

D Delay delivery until coagulation results are completely normal

E Use visible blood-loss volume alone to decide whether delivery is required

F Await spontaneous labour in all cases before 37 weeks

G Perform vaginal examination before excluding placenta praevia

H Transfer an unstable woman before commencing resuscitation

Correct Answer

C. If maternal or fetal compromise is present, expedite delivery while continuing maternal resuscitation

Explanation

Significant APH with maternal or fetal compromise may require immediate delivery. Maternal resuscitation and preparation for delivery occur concurrently; definitive obstetric management should not be delayed simply to obtain imaging confirmation or because visible blood loss appears modest. Mode of delivery depends on the clinical circumstances.

Option Validity

A) Maternal haemoglobin is not an appropriate trigger for delaying necessary delivery.

B) Imaging confirmation must not delay delivery when the clinical situation requires it.

D) Coagulopathy should be actively managed, but urgent delivery may need to proceed alongside correction.

E) Visible bleeding can underestimate total haemorrhage.

F) Expectant management is inappropriate when maternal or fetal compromise requires delivery.

G) Digital vaginal examination should be avoided until placenta praevia has been excluded where possible.

H) An unstable woman requires immediate assessment and resuscitation before transfer.

Source & metrics

Authored Difficulty

4.00

Evaluation Score

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Destination

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Source

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Updated

2026-10-06 01:57:35

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