A 28-year-old woman at 34 weeks of gestation presents to the GP with sudden onset of painless, bright red vaginal bleeding. She soaked two pads in the...

Question

A 28-year-old woman at 34 weeks of gestation presents to the GP with sudden onset of painless, bright red vaginal bleeding. She soaked two pads in the last hour. Her blood pressure is 110/68 mmHg and pulse is 92 bpm. She reports no abdominal pain. Which is the single most important initial action?

Accepted Answer

Call an emergency ambulance and arrange immediate transfer to the maternity unit

Answer

Perform a speculum examination to identify the source of bleeding

Answer

Arrange an urgent outpatient ultrasound to check placental position

Answer

Request a full blood count and group and save in primary care

Answer

Prescribe tranexamic acid 1 g orally and review in 4 hours

uk-drcog MCQ (SBA): Antepartum Haemorrhage

A 28-year-old woman at 34 weeks of gestation presents to the GP with sudden onset of painless, bright red vaginal bleeding. She soaked two pads in the last hour. Her blood pressure is 110/68 mmHg and pulse is 92 bpm. She reports no abdominal pain. Which is the single most important initial action?