A 31-year-old woman, gravida 3 para 2, at 26 weeks of gestation presents to the GP with a 2-day history of painless bright red vaginal bleeding. She h...

Question

A 31-year-old woman, gravida 3 para 2, at 26 weeks of gestation presents to the GP with a 2-day history of painless bright red vaginal bleeding. She has a known low-lying placenta from her 20-week scan. She has soaked one pad. Her observations are stable. Which is the single most important instruction the GP should give?

Accepted Answer

Do not perform a vaginal examination - arrange immediate transfer to the maternity unit

Answer

Perform a digital vaginal examination to assess cervical dilatation

Answer

Prescribe oral tranexamic acid and review in 24 hours

Answer

Arrange an outpatient ultrasound within the next week

Answer

Advise bed rest at home and attend if bleeding increases

uk-drcog MCQ (SBA): Placenta Praevia - No Vaginal Examination