06-01-2010, 07:10 PM
A 17-year-old girl who is pregnant says that she usually
smokes about 15 cigarettes a day. Despite being advised to
abstain from smoking during her pregnancy, she has not
been able to stop.During her third trimester, she suddenly
develops abdominal pain and vaginal bleeding. Her
boyfriend brings her to the emergency department, where
she rapidly deteriorates into shock. An emergent cesarean
section is performed.What is the most likely diagnosis?
A. Placental abruption
B. Placenta previa
C. Premature rupture of the fetal membranes
D. An undiagnosed ectopic pregnancy
smokes about 15 cigarettes a day. Despite being advised to
abstain from smoking during her pregnancy, she has not
been able to stop.During her third trimester, she suddenly
develops abdominal pain and vaginal bleeding. Her
boyfriend brings her to the emergency department, where
she rapidly deteriorates into shock. An emergent cesarean
section is performed.What is the most likely diagnosis?
A. Placental abruption
B. Placenta previa
C. Premature rupture of the fetal membranes
D. An undiagnosed ectopic pregnancy