Question 1

Question

A 31-year-old woman, G3P2, at 32 weeks of gestation presents with a sudden onset of painless vaginal bleeding. She soaked two pads over the past hour. Vital signs: BP 110/70 mmHg, HR 96 bpm. The fetal heart rate tracing shows a baseline of 150 bpm with moderate variability, accelerations present, and no decelerations. A transabdominal ultrasound obtained at presentation demonstrates the placenta completely covering the internal os. Based on the ultrasound findings, which of the following is the most appropriate management?

Accepted Answer

Admit for expectant management, administer betamethasone, and defer delivery if bleeding stabilizes

Answer

Perform immediate cesarean delivery given the gestational age and active bleeding

Answer

Administer oxytocin and prepare for vaginal delivery to avoid further hemorrhage

Answer

Perform digital cervical examination to assess dilation and plan route of delivery

Answer

Discharge home with pelvic rest instructions and follow-up ultrasound in one week

Stages of labor — MCQs

Stages of labor — MCQs

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