Page 129 - Critical Maternity & Newborn Health Nursing

3.What is the next step that requires urgent attention in the

management of the patient? (1 mark)

……………………………………………………………………………

……

………………………………………………………………………..

Scenario V:

MR. M who is 39 weeks pregnant, according to her antenatal record,

presents with a history of moderate painless vaginal bleeding. The blood

is bright red. Since the hemorrhage, the patient has felt her fetal

movement. The patient’s blood pressure is 80/60 mm Hg and the pulse

rate 120 beats per minute.

Questions 1 to 5 are based on the above scenario

1. Which of the following indicates the diagnosis?

a. Placenta previa centralis

b. Placenta previa lateralis

c. Revealed abruptio placenta

d. Mixed abruptio placenta

2. Mr. M. is admitted hospital, what is the first line examination to

confirm or exclude diagnosis?

a. Ultrasonography

b. Vaginal Examination

c. X-ray

d. Hystrosonography

3. Which is the following contraindicated in this case to avoid more

vaginal bleeding?

a. Ultrasonography

b. Vaginal Examination

c. X-ray

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