A 32-year-old woman at 36 weeks’ gestation presents with painless vaginal bleeding. The presenting part is high and mobile. Previous scan suggested a ...

Question

A 32-year-old woman at 36 weeks’ gestation presents with painless vaginal bleeding. The presenting part is high and mobile. Previous scan suggested a low-lying placenta. What is the most appropriate immediate management?

Accepted Answer

Arrange urgent ultrasound to confirm placenta position and avoid vaginal examination

Answer

Perform a digital vaginal examination to assess dilatation

Answer

Discharge with reassurance

Answer

Induce labour immediately

Answer

Start oral Tranexamic acid and send home

uk-plab-1 MCQ (SBA): Placenta praevia

A 32-year-old woman at 36 weeks’ gestation presents with painless vaginal bleeding. The presenting part is high and mobile. Previous scan suggested a low-lying placenta. What is the most appropriate immediate management?