A 34-year-old woman at 33 weeks' gestation with chronic hypertension has painful vaginal bleeding and a firm tender uterus. Fetal tracing shows

Question

A 34-year-old woman at 33 weeks' gestation with chronic hypertension has painful vaginal bleeding and a firm tender uterus. Fetal tracing shows recurrent late decelerations. Which of the following is the most likely explanation for this patient's findings?

Accepted Answer

Premature separation of the placenta from the uterine wall

Answer

Rupture of fetal vessels crossing membranes

Answer

Cervical dilation at term

Answer

Implantation of placenta over the cervical os

Answer

Infection of the amniotic cavity

Placental abruption — USMLE Step 3 MCQ

A 34-year-old woman at 33 weeks' gestation with chronic hypertension has painful vaginal bleeding and a firm tender uterus. Fetal tracing shows recurrent late decelerations. Which of the following is the most likely explanation for this patient's findings?