Antenatal problems – diagnosis and initial management

Theme: Antenatal problems – diagnosis and initial management

Options:

A. Placenta previa
B. Placental abruption
C. Ectopic pregnancy
D. Gestational diabetes
E. Preeclampsia
F. Hyperemesis gravidarum
G. Urinary tract infection
H. Preterm labour
I. Round ligament pain
J. Symphysis pubis dysfunction
K. Threatened miscarriage
L. Braxton Hicks contractions


Stems:

1. A 32-year-old woman at 28 weeks gestation presents with painless vaginal bleeding. The uterus is soft, and the foetal heart rate is normal.

2. A 26-year-old woman at 34 weeks presents with sudden abdominal pain and vaginal bleeding. The uterus is tender and tense, and the foetal heart rate is bradycardic.

3. A 30-year-old woman at 36 weeks reports irregular, painless contractions. The cervix is closed on vaginal exam.

4. A 35-year-old woman at 24 weeks has a BP of 150/100 mmHg, +2 proteinuria, and complains of headache and blurred vision.

5. A 24-year-old in her first trimester presents with persistent vomiting, dehydration, and ketonuria.


Answers:

1 → A. Placenta previa
2 → B. Placental abruption
3 → L. Braxton Hicks contractions
4 → E. Preeclampsia
5 → F. Hyperemesis gravidarum