05-22-2018, 04:04 AM
A 24 year old primigravid woman at 30 weeks’ gestation is admitted to the hospital because of bright red vaginal bleeding that she first noticed as spotting on her underwear 12 hours ago after sexual intercourse. Since then, the bleeding has increased, and she has had to wear a sanitary pad. Her pregnancy has been otherwise uncomplicated. US at 20 weeks showed a fundal placenta. Her pulse is 64/min, and BP is 110/60mmHg. The uterine fundus is nontender, the fundal height is 30cm. The fetal heart rate is 150/min with moderate variability. External fetal monitoring shows 2 contractions during the next hour. Which of the following is the most likely cause of this patient’s bleeding?
A—Abruptio placentae
B—cervical cancer
C—cervical trauma
D—placenta previa
E—preterm labor
A—Abruptio placentae
B—cervical cancer
C—cervical trauma
D—placenta previa
E—preterm labor