EMQ — Extended Matching Question · Review
Question 207
Delivery suite → Haemorrhage
Classification
Question
EEMQAnswer Bank
Correct Answer
Explanation
Painless recurrent APH with a soft non-tender uterus is characteristic of placenta praevia, and ultrasound establishes placental location. Placental tissue over the internal cervical os provides the decisive finding in this scenario.
Option Validity
A) Placental abruption is more strongly associated with abdominal pain, uterine tenderness or hypertonicity.
C) Vasa praevia is particularly associated with bleeding around rupture of membranes and acute fetal compromise.
D) Cervical ectropion would require a cervical source demonstrated clinically and does not account for the ultrasound finding.
E) Cervical malignancy is not supported when the placental abnormality provides the bleeding source.
F) Labour-related show does not explain recurrent painless bleeding with placenta over the cervical os.
G) Vaginal trauma is not supported by the history and cannot explain the placental location.
H) The haemorrhage is not unexplained because placenta praevia has been demonstrated.
Further Reading
RCOG Green-top Guideline No. 63. Antepartum Haemorrhage. Royal College of Obstetricians and Gynaecologists; 2011.