Bleeding in pregnancy

Question 1

1st trimester causes?

Answer 1

spontaneous abortion, ectopic and hydatidiform mole

Question 2

2nd trimester causes?

Answer 2

spontanous abortion, hydatidiform mole, placental abruption

Question 3

3rd trimester causes?

Answer 3

bloody show
placental abruption
placenta praevia
vasa praevia

Question 4

Symptoms of ectopic pregnancy?

Answer 4

6-8 weeks since last period
lower abdo pain
vaginal bleeding
shoulder tip pain/cervical excitation

Question 5

Hydatidiform mole?

Answer 5

bleeding and hyperemesis

large for dates, high serum hCG

Question 6

Placental abruption symptoms?

Answer 6

constant PAIN
shock
tender, tense uterus but normal lie and presentation
fetal heart may be distressed

Question 7

Placenta Praevia?

Answer 7

PAINLESS vaginal bleeding

non tender uterus but presentation/lie may be abnormal

Question 8

Vasa Praevia?

Answer 8

rupture of membranes followed PAINLESS by bleeding

Fetal BRADYcardia

Question 9

Should vaginal exam be performed in primary care for suspected antepartum bleed?

Answer 9

no!

Question 10

Symptoms of threatened miscarraige?

Answer 10

painless bleeding

closed cervis

Question 11

Symptoms of missed/delayed miscarraige?

Answer 11

bleeding
symptoms of pregnancy have disappeared
fetus is dead

Question 12

Symptoms of inevitable miscarraige?

Answer 12

bleeding and crampy pain

open cervical os