EMQ

EMQ — Extended Matching Question · Review

Question 225

Delivery suite → Haemorrhage

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Type EEMQ

UUID f7c9d0e4-2373-4030-bda5-32a8e5094f9c

Classification

Speciality

Obstetrics and Gynaecology

Group

Clinical

Title

Delivery suite

Topic

Haemorrhage

Subtopic 1

Antepartum haemorrhage

Subtopic 2

General

Subtopic 3

Place of care

Question Type

EMQ

Question

EEMQ

Question Header

Question Stem

Continue assessment in a community setting until the bleeding source is identified

Answer Bank

A Continue assessment in a community setting until the bleeding source is identified

B After initial assessment and stabilisation, manage significant APH in a hospital maternity unit with immediate access to resuscitation, blood transfusion, anaesthesia and emergency operative delivery

C Transfer directly to an outpatient ultrasound department

D Manage in a midwifery-led unit if fetal assessment is initially reassuring

E Discharge once visible bleeding stops without considering the original severity

F Transfer before commencing resuscitation even if the woman is unstable

G Use gestational age alone to determine whether hospital care is required

H Hospital maternity care is necessary only when placenta praevia is confirmed

Correct Answer

B. After initial assessment and stabilisation, manage significant APH in a hospital maternity unit with immediate access to resuscitation, blood transfusion, anaesthesia and emergency operative delivery

Explanation

Women presenting with significant APH require a level of care capable of responding immediately to maternal haemorrhage and fetal deterioration. Following initial assessment and stabilisation, care should be in a hospital maternity unit with access to resuscitation, transfusion, anaesthetic support and emergency operative delivery. An unstable woman must be resuscitated before transfer.

Option Validity

A) Significant APH requires access to definitive obstetric and resuscitative facilities.

C) Outpatient imaging cannot provide the multidisciplinary emergency capability required.

D) Initial fetal reassurance does not remove the risk of maternal or fetal deterioration.

E) Disposition depends on the complete clinical assessment, not simply cessation of visible bleeding.

F) An unstable woman should be resuscitated before transfer.

G) Place of care depends on clinical severity and required facilities, not gestational age alone.

H) Significant APH from causes other than placenta praevia may require hospital maternity care.

Source & metrics

Authored Difficulty

4.00

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Updated

2026-10-06 01:57:35

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