Podcast
Questions and Answers
Which of the following is the most likely diagnosis for the pregnant woman who fell from 5 stairs and is experiencing painful vaginal bleeding at 36 weeks gestation?
Which of the following is the most likely diagnosis for the pregnant woman who fell from 5 stairs and is experiencing painful vaginal bleeding at 36 weeks gestation?
- A- Placenta previa
- B- Abruptio placenta (correct)
- C- Vasa previa
- D- None of the above
At 24 weeks gestation, where would you expect the fundus (top of the uterus) to be palpable?
At 24 weeks gestation, where would you expect the fundus (top of the uterus) to be palpable?
- A- 24 cm above the symphysis pubis (correct)
- C- 8 cm below the xiphoid process
- D- 24 cm below the xiphoid process
- B- 20 cm above the symphysis pubis
A pregnant woman presents to the emergency room with severe abdominal pain and vaginal bleeding. On examination, her blood pressure is 90/60 mmHg and her heart rate is 110 bpm. What is the most likely diagnosis?
A pregnant woman presents to the emergency room with severe abdominal pain and vaginal bleeding. On examination, her blood pressure is 90/60 mmHg and her heart rate is 110 bpm. What is the most likely diagnosis?
- A- Placenta previa
- B- Abruptio placenta (correct)
- C- Vasa previa
- D- None of the above
A pregnant woman presents to her primary healthcare provider complaining of painless vaginal bleeding at 34 weeks gestation. On examination, the fundus is palpable at the level of the umbilicus. What is the most likely diagnosis?
A pregnant woman presents to her primary healthcare provider complaining of painless vaginal bleeding at 34 weeks gestation. On examination, the fundus is palpable at the level of the umbilicus. What is the most likely diagnosis?
A pregnant woman presents to her primary healthcare provider complaining of painless vaginal bleeding at 36 weeks gestation. On examination, the fundus is palpable 4 cm below the xiphoid process. What is the most likely diagnosis?
A pregnant woman presents to her primary healthcare provider complaining of painless vaginal bleeding at 36 weeks gestation. On examination, the fundus is palpable 4 cm below the xiphoid process. What is the most likely diagnosis?
Study Notes
Trauma in Pregnancy
- A fall from 5 stairs at 36 weeks gestation with painful vaginal bleeding is likely a placental abruption.
Uterine Height
- At 24 weeks gestation, the fundus (top of the uterus) is palpable at the lower abdomen, around the iliac crest.
Hypovolemic Shock
- A pregnant woman with severe abdominal pain, vaginal bleeding, hypotension (90/60 mmHg), and tachycardia (110 bpm) likely has hypovolemic shock.
Vaginal Bleeding in Pregnancy
- Painless vaginal bleeding at 34 weeks gestation with a fundus palpable at the umbilical level indicates placenta previa.
- Painless vaginal bleeding at 36 weeks gestation with a fundus palpable 4 cm below the xiphoid process also suggests placenta previa.
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Description
Test your knowledge on obstetric emergencies with this quiz. Identify the most likely diagnosis for a pregnant woman presenting with painful vaginal bleeding after a fall, and determine the appropriate management. Challenge yourself with multiple-choice questions and improve your understanding of obstetric conditions.
