EMQ

EMQ — Extended Matching Question · Review

Question 223

Delivery suite → Haemorrhage

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Destination Site

Type EEMQ

UUID 958eecdd-62fe-4f2e-a186-a3ded708922c

Classification

Speciality

Obstetrics and Gynaecology

Group

Clinical

Title

Delivery suite

Topic

Haemorrhage

Subtopic 1

Antepartum haemorrhage

Subtopic 2

General

Subtopic 3

Subsequent pregnancy care

Question Type

EMQ

Question

EEMQ

Question Header

Question Stem

Return immediately to routine low-risk care once bleeding stops

Answer Bank

A Return immediately to routine low-risk care once bleeding stops

B No additional surveillance if placenta praevia has been excluded

C Additional surveillance is required only after confirmed abruption

D Delivery at 37 weeks is mandatory after every unexplained APH

E Further fetal assessment is unnecessary if the initial CTG was reassuring

F Serial maternal haemoglobin alone provides sufficient follow-up

G Recognise unexplained APH as a marker of increased adverse pregnancy risk and provide appropriate consultant-led surveillance, including fetal growth assessment

H Hospital admission until delivery is mandatory after every minor unexplained bleed

Correct Answer

G. Recognise unexplained APH as a marker of increased adverse pregnancy risk and provide appropriate consultant-led surveillance, including fetal growth assessment

Explanation

Unexplained APH is associated with increased risks including preterm delivery, stillbirth and reduced fetal growth. Once immediate bleeding has settled, the pregnancy should therefore not automatically return to a low-risk pathway. Subsequent care should reflect the increased obstetric risk and include appropriate fetal growth surveillance.

Option Validity

A) Unexplained APH is associated with later adverse outcomes and should influence subsequent care.

B) Excluding placenta praevia does not remove the increased risk associated with unexplained APH.

C) Additional surveillance is not restricted to pregnancies with confirmed abruption.

D) Delivery at 37 weeks is not mandatory after every unexplained APH.

E) A reassuring initial CTG does not remove later pregnancy risks.

F) Maternal haemoglobin surveillance does not address fetal growth and other obstetric risks.

H) Management should be individualised; prolonged admission is not mandatory after every minor episode.

Source & metrics

Authored Difficulty

4.00

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Updated

2026-10-06 01:57:35

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