EMQ — Extended Matching Question · Review
Question 211
Delivery suite → Haemorrhage
Classification
Question
EEMQAnswer Bank
Correct Answer
Explanation
A small amount of blood-stained mucus accompanying the onset of otherwise uncomplicated labour is most consistent with a show. The absence of continuing haemorrhage, persistent uterine tenderness or hypertonicity, maternal compromise and fetal compromise makes major placental causes less likely.
Option Validity
A) Placental abruption would be more concerning with persistent pain, tenderness, hypertonicity, haemorrhage or fetal compromise.
B) Placenta praevia is not suggested by a small blood-stained mucous show accompanying established contractions.
C) Vasa praevia is particularly associated with bleeding following membrane rupture and fetal deterioration.
D) Cervical ectropion is not the best explanation for blood-stained mucus occurring with the onset of labour.
E) Cervical malignancy is not supported by the acute labour-related presentation.
G) Vaginal trauma is not described.
H) The clinical context provides a recognised explanation, so unexplained APH is not the best classification.
Further Reading
RCOG Green-top Guideline No. 63. Antepartum Haemorrhage. Royal College of Obstetricians and Gynaecologists; 2011.