Postpartum haemorrhage: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Postpartum haemorrhage

Sample item

What is an immediate management step for a boggy uterus with heavy postpartum bleeding?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Uterine massage and uterotonic treatment

Atonic postpartum haemorrhage requires immediate resuscitation and measures to restore uterine contraction, including massage and uterotonics as clinically indicated.

Option by option

  • A. Give oral iron alone

    Iron cannot control active major haemorrhage.

  • B. Uterine massage and uterotonic treatment (correct)

    Correct: uterine stimulation addresses the likely atony.

  • C. Apply an abdominal ice pack only

    Ice alone does not treat uterine atony.

  • D. Delay assessment until the next day

    Delay risks haemodynamic collapse.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this OBG question

What is the answer to this OBG question?

The best answer is B, Uterine massage and uterotonic treatment. Atonic postpartum haemorrhage requires immediate resuscitation and measures to restore uterine contraction, including massage and uterotonics as clinically indicated.

Why is "Give oral iron alone" not the answer?

Iron cannot control active major haemorrhage.

Why is "Apply an abdominal ice pack only" not the answer?

Ice alone does not treat uterine atony.

Why is "Delay assessment until the next day" not the answer?

Delay risks haemodynamic collapse.

What concept does this question test?

It tests Postpartum haemorrhage in OBG. The correct option holds because: Correct: uterine stimulation addresses the likely atony.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Postpartum haemorrhage?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.