Abdominal trauma in pregnancy Quiz: Ace Your Exams
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A 22-year-old primigravid woman is brought to labor and delivery at 38 weeks of estimated gestational age (EGA) with abdominal pain after intentionally throwing herself down the stairs. The patient’s partner overheard the incident and immediately called emergency medical services, who brought the patient to the hospital by ambulance. Past medical history includes bipolar disorder and a prior suicide attempt at age 17. Temperature is 36.9°C (98.4°F), pulse is 79/min, respirations are 18/min, and blood pressure is 122/78 mmHg. On exam, the abdomen is gravid, soft, and mildly tender to palpation with superficial abrasions noted across the center and lower abdomen. The initial fetal heart rate is 130/min, and the patient is placed on prolonged cardiotocographic monitoring. Contractions are noted every 5 to 10 minutes. Which of the following additional findings would indicate the primary concerning complication of abdominal trauma in pregnant patients?
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