Suspected Placental Abruption in Obstetrics & Gynecology — 29yo Woman | General Gynecology | SMLE Q#16835

SMLE Question #16835

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 29-year-old woman undergoes cesarean delivery at 38 weeks for failure to progress. Minutes after delivery, she develops heavy vaginal bleeding with suspected placental abruption. Despite rapid crystalloid infusion and 4 units of packed red blood cells, she remains unstable and continues to bleed. Coagulation studies are abnormal as shown. Which of the following infusions is the most appropriate next step in management?

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