A woman at 35 weeks develops painless vaginal bleeding immediately after the membranes rupture. The fetal heart rate suddenly becomes abnormal. Which complication is most likely?

Correct answer: B. Vasa previa

  • A. Placental abruption
  • B. Vasa previa
  • C. Uterine rupture
  • D. Cervical infection

Explanation

Vasa previa occurs when fetal vessels lie near the cervical opening and may tear when the membranes rupture, causing fetal blood loss and rapid fetal heart rate changes. Placental abruption usually causes painful bleeding and a tender, firm uterus.

Submitted by a TestUstad contributor and published by the TestUstad editorial teamLast updated
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About Complications of Pregnancy

Pregnancy complications include hyperemesis gravidarum, anaemia, ectopic pregnancy, miscarriage, antepartum haemorrhage, hypertensive disorders, gestational diabetes, infections and disorders of fetal growth. Questions focus on characteristic signs, risk factors, investigations, maternal and fetal effects, and nursing care, while acute life-threatening treatment belongs under obstetric emergencies.

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