Which of the following is NOT listed as a step in third-trimester bleeding management?

Which of the following is NOT listed as a step in third-trimester bleeding management?

• A. Ensure patent airway
• B. O2 saturation PRN
• C. Administer IV tocolytics
• D. If no time for transport and delivery is imminent, proceed with delivery

Answer: (C)

In third-trimester bleeding, the priority is to stabilize the mother and prepare for delivery. The main actions are to ensure an open airway and adequate breathing, provide oxygen as needed to keep saturation in a safe range, establish intravenous access for fluids or blood products, and monitor both mother and fetus while arranging rapid transport if indicated. Positioning the patient in left lateral tilt helps improve uteroplacental perfusion, and you should be ready for delivery if bleeding continues or delivery becomes imminent. Administering IV tocolytics is not part of standard third-trimester bleeding management in the prehospital setting. Tocolytics are used to suppress uterine contractions to delay labor, but in the context of active bleeding from obstetric complications like placental abruption or placenta previa, delaying delivery can worsen outcomes. Therefore this step is not included, while the other actions align with stabilization and preparation for potential delivery.

In third-trimester bleeding, the priority is to stabilize the mother and prepare for delivery. The main actions are to ensure an open airway and adequate breathing, provide oxygen as needed to keep saturation in a safe range, establish intravenous access for fluids or blood products, and monitor both mother and fetus while arranging rapid transport if indicated. Positioning the patient in left lateral tilt helps improve uteroplacental perfusion, and you should be ready for delivery if bleeding continues or delivery becomes imminent.

Administering IV tocolytics is not part of standard third-trimester bleeding management in the prehospital setting. Tocolytics are used to suppress uterine contractions to delay labor, but in the context of active bleeding from obstetric complications like placental abruption or placenta previa, delaying delivery can worsen outcomes. Therefore this step is not included, while the other actions align with stabilization and preparation for potential delivery.