Florida State Paramedic Practice Exam

What is one of the first interventions to manage postpartum hemorrhage?

1. Administer blood products

2. Massage the fundus

3. Start CPR

4. Move the patient to a surgical room

The correct answer is: Massage the fundus

Massaging the fundus is a critical first intervention in managing postpartum hemorrhage because it helps stimulate uterine contractions and aids in the expulsion of clots. After childbirth, the uterus normally contracts to reduce bleeding. However, if it does not contract effectively (a condition known as uterine atony), massage can encourage it to return to its contracted state, thereby reducing the amount of blood loss. This technique is not only immediate and easily performed but also can significantly impact the patient's stability and recovery. The other choices involve measures that, while important in the overall management of severe postpartum hemorrhage, are not the initial steps. Administering blood products may be necessary later if significant blood loss has occurred, but it is not the first action taken. Starting CPR is reserved for patients exhibiting signs of cardiac arrest, which is not typically the case at the onset of postpartum hemorrhage. Moving a patient to a surgical room may be required for further interventions if bleeding cannot be controlled, but this is a later step after initial measures have been attempted.