Placental abruption 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!
Learning videos
Flashcards
Expert reviewed
Spaced Repetition
Mobile app
Custom Quizzes
1 of 4
A 31-year-old primigravid non-binary pregnant person presents to the emergency department at 31 weeks estimated gestational age (EGA) after a motor vehicle accident 45 minutes ago. The patient was a restrained passenger, and the airbag deployed. Since the accident, the patient has developed moderate abdominal cramping and light vaginal bleeding. Fetal movement is normal, and no other symptoms are present. Their past medical history is unremarkable, and the only medication is a daily prenatal vitamin. Their temperature is 36.9°C (98.4°F), pulse is 78/min, respirations are 18/min, and blood pressure is 118/80 mmHg. On examination, the uterus is firm and mildly tender to palpation. A speculum exam shows brown-tinged cervical mucus but no active bleeding. The cervix is 1 cm dilated, thick, and high in the pelvis. Labs are shown in the table below. An ultrasound shows an anterior placenta with a small fluid collection behind its inferior margin. Four hours of cardiotocographic monitoring demonstrates initial high-frequency, low amplitude contractions, but these resolve over time. A repeat cervical exam and ultrasound are unchanged. Which of the following is the most appropriate next step in management?
| Test | Result |
| Hemoglobin | 11.3 g/dL |
| Hematocrit | 34% |
| Platelets | 189,000/mm3 |
| Prothrombin time (PT) | 12 sec |
| International normalized ratio (INR) | 1.1 |
| Activated partial thromboplastin time (aPTT) | 30 sec |
| Fibrinogen | 345 mg/dL |
| Kleihauer-Betke (KB) test | Negative |
| Blood type | A |
| Rh D | Positive |
| Antibody screen | Negative |
Elimination tool
0 XP
Press space to continue