A 28-year-old primigravida at 36 weeks of gestation presents to the GP with sudden onset of constant, severe abdominal pain. Her uterus is tense and t...

Question

A 28-year-old primigravida at 36 weeks of gestation presents to the GP with sudden onset of constant, severe abdominal pain. Her uterus is tense and tender on palpation with no relaxation between contractions. She has dark vaginal bleeding. Her blood pressure is 90/55 mmHg and pulse is 128 bpm. Which feature most strongly distinguishes this from placenta praevia?

Accepted Answer

The constant severe pain with a tense, tender uterus - placenta praevia classically causes painless bleeding

Answer

The presence of vaginal bleeding

Answer

Maternal tachycardia

Answer

The gestation

Answer

The dark colour of the blood

uk-drcog MCQ (SBA): Abruption vs Praevia - Pain Distinction