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Antepartum haemorrhage — DRCOG MCQ

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ModerateAntenatal CareAntepartum haemorrhageDRCOG

A 32-year-old woman at 29 weeks' gestation reports a sudden episode of vaginal bleeding with mild abdominal discomfort. She is unsure of placental location and has not felt the baby move since the bleeding started. What is the most appropriate management?

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Correct answer: D — Arrange immediate assessment in obstetric triage

Bleeding in the third trimester with reduced fetal movements requires immediate obstetric assessment to evaluate maternal stability, fetal wellbeing and placental causes. Primary-care review the next day is unsafe. Tranexamic acid in the community would delay assessment and does not diagnose placenta praevia or abruption. Cervical screening is unrelated to this urgent presentation.

Reference: NICE NG201; RCOG Green-top Guideline No. 63