EMQ — Extended Matching Question · Review
Question 213
Delivery suite → Haemorrhage
Classification
Question
EEMQAnswer Bank
Correct Answer
Explanation
When appropriate assessment does not identify placenta praevia, placental abruption or a local genital-tract cause, the episode may remain unexplained. Importantly, unexplained APH is not synonymous with low risk; it is associated with adverse pregnancy outcomes and should influence subsequent pregnancy surveillance.
Option Validity
A) Placental abruption should not be assigned without a compatible clinical presentation merely because bleeding remains unexplained.
B) Placenta praevia has been excluded by assessment of placental location.
C) Vasa praevia is not supported by a relationship to membrane rupture or acute fetal deterioration.
D) Cervical ectropion has not been demonstrated on speculum examination.
E) Cervical malignancy is not supported by a suspicious cervical lesion.
F) Labour-related show is not supported at this gestation without a labour-related presentation.
G) Vaginal trauma is not identified by history or examination.
Further Reading
RCOG Green-top Guideline No. 63. Antepartum Haemorrhage. Royal College of Obstetricians and Gynaecologists; 2011.