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Anaesthesia · Obstetric anaesthesia
Sample itemWhy is left uterine displacement used for a term pregnant patient undergoing caesarean delivery?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. To reduce aortocaval compression
The gravid uterus can compress the inferior vena cava and aorta when supine, reducing venous return and uteroplacental perfusion. Left tilt displaces the uterus away from these vessels.
Option by option
A. To reduce aortocaval compression (correct)
Correct. Positioning improves maternal venous return and placental blood flow.
B. To increase aspiration risk
Left tilt reduces rather than increases a major anaesthetic risk.
C. To prevent uterine atony
Uterine tone is managed pharmacologically and surgically as needed.
D. To improve spinal-fluid production
CSF production is not the purpose.
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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