Placenta previa and vasa previa Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 36-year-old woman, gravida 5, para 4, at 32 weeks of gestation presents to labor and delivery triage with vaginal spotting that began 1 hour ago. She has no contractions, no loss of fluid, and normal fetal movement. Her pregnancy is complicated by placenta previa diagnosed at 20 weeks on an anatomy ultrasound. Her medical history is notable for two uncomplicated vaginal deliveries, one prior C-section for breech presentation, and a vaginal birth after cesarean (VBAC). Temperature is 36.9°C (98.4°F), pulse is 82/min, respirations are 18/min, and blood pressure is 116/74 mmHg. A sterile speculum exam (SSE) shows a small amount of blood in the vaginal vault but no active bleeding and the cervix appears parous and closed. A non-stress test (NST) shows a reactive and reassuring fetal heart rate pattern with a baseline in the 140s and moderate variability. There are no decelerations, and a single small uterine contraction is noted that the patient did not feel. Which of the following is the most appropriate next step in management? 

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