A woman at 32 weeks has painful dark vaginal bleeding, a hypertonic uterus and fetal distress. Which diagnosis and action are most likely?
Answer and explanation
Correct answer: D. Placental abruption
- Step 1: Painful bleeding with a hypertonic uterus and distress is typical of abruption. Step 2. It is an obstetric emergency. Answer: placental abruption, urgent delivery. Why not the others: Previa is painless and the other options miss the severity.
Practise more Obstetrics and Gynecology.
Free questions with an explanation for every one, and full timed Revalida (Brazil Medical Diploma Revalidation Exam) mock tests.
More Obstetrics and Gynecology questions
- Which finding defines preeclampsia?
- A woman with a last menstrual period beginning on 10 January wants her estimated due date using Naegele's rule (add 7 days, subtract 3 month…
- A woman has amenorrhoea, a positive hCG, an empty uterus on ultrasound and unilateral pain. She is stable, with a 2 cm mass without fetal he…
- What is the most common cause of postpartum haemorrhage and the first-line uterotonic?
- Which supplement is recommended before conception and in early pregnancy to prevent neural tube defects?
- When is gestational diabetes screened, and with which test?