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raida



Points : 47223
Join date : 2014-04-16

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PostSubject: Question-265   Question-265 EmptyWed Apr 16, 2014 11:21 am

A 30-year-old woman presented with vaginal bleeding around 600ml at 40 weeks of gestation. On examination, her vital signs were stable. She has tender abdomen and on auscultation, there were no fetal heart sounds.

What is the most appropriate next step?

a.Augment the labour
b.Amniotomy
c.Ultrasound of uterus
d.Urgent cesarean section
e.Wait and watch conservatively
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sue



Points : 50469
Join date : 2013-12-26

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PostSubject: Re: Question-265   Question-265 EmptyWed Apr 16, 2014 11:39 am

d?due to fetal distress.
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anesa



Points : 49124
Join date : 2014-02-05

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PostSubject: Re: Question-265   Question-265 EmptyWed Apr 16, 2014 11:41 am

why not c?
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Shahlaa75



Points : 47490
Join date : 2014-04-04

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PostSubject: Re: Question-265   Question-265 EmptyWed Apr 16, 2014 1:00 pm

C
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aibbah



Points : 47405
Join date : 2014-04-07

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PostSubject: Re: Question-265   Question-265 EmptyWed Apr 16, 2014 2:13 pm

C
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Vistamosta



Points : 46150
Join date : 2014-06-07
Age : 51
Location : WA

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PostSubject: Re: Question-265   Question-265 EmptyMon Jun 09, 2014 1:05 pm

B
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Masoud



Points : 42352
Join date : 2014-11-03

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PostSubject: Re: Question-265   Question-265 EmptySat Nov 15, 2014 8:58 am

To understand the source of vaginal bleeding USG could be a good option .as soon as the source of the bleeding become clear then to making any decisions could be possible.
1- no fetal heart sounds
2-her vital signs were stable.
3-No mentioned any meconium or late deseleration (no definitely cs)
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