Placental abruption Quiz: Ace Your Exams
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A 29-year-old woman, gravida 2, para 1, at 36 weeks estimated gestational age (EGA), presents to the emergency department with abdominal pain and leakage of fluid from the vagina that started two hours ago. She was watching television when she experienced a sudden gush of fluid. She then immediately developed crampy, constant abdominal pain, which fluctuates in severity between a 5 and 8 on a 10-point scale. She also notes that the fluid has become bloody. This pregnancy has been complicated by idiopathic polyhydramnios and maternal tobacco use. Past medical history is notable for one prior spontaneous vaginal delivery two years ago. Temperature is 36.5°C (97.7°F), pulse is 92/min, respirations are 18/min, and blood pressure is 116/72 mmHg. On examination, the uterus is mildly tender to palpation and firm. A speculum exam reveals pooling of grossly bloody fluid. The cervix is visually 1 cm dilated. Which of the following findings would support the suspected diagnosis?
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