Emergency Medical Technician (EMT) Basic Certification Practice Exam

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What should be administered to a patient with abruptio placentae to support treatment?

Antibiotics
Aspirin
100% oxygen
Fluids orally

The correct answer is: 100% oxygen

Administering 100% oxygen to a patient with abruptio placentae is a critical intervention as it helps to ensure adequate oxygen delivery to both the mother and the fetus. Abruptio placentae, characterized by the premature separation of the placenta from the uterine wall, can lead to significant maternal and fetal hemorrhaging, resulting in compromised oxygenation. Providing high-flow oxygen is essential, particularly if there are signs of fetal distress or maternal hypoxia. By enhancing the oxygen content in the blood, it helps to mitigate some of the adverse effects of reduced blood flow and promotes better fetal outcomes. Rapid oxygenation is particularly vital because it can support cellular metabolism and reduce the risk of complications associated with compromised blood flow. In contrast, antibiotics, aspirin, and oral fluids may not provide the immediate life support needed in this emergency. Antibiotics might be used later if there’s an indication of infection, aspirin can exacerbate bleeding, and orally provided fluids would not be appropriate if the patient is experiencing significant blood loss or requires intravenous access for fluid resuscitation. Thus, the provision of 100% oxygen stands out as the most crucial immediate intervention in the scenario of abruptio placentae.