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Placenta praevia — PARA MCQ

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ModerateO&G - Antepartum bleedingPlacenta praeviaPARA

A 28-year-old pregnant woman at 30 weeks has painless bright-red vaginal bleeding. The uterus is soft and non-tender, and the fetal heart rate is normal. What is the most appropriate investigation?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Transvaginal or transabdominal ultrasound to locate the placenta before vaginal examination

Painless antepartum haemorrhage suggests placenta praevia. Placental location must be confirmed by ultrasound before digital vaginal examination.

Reference: RCOG Green-top Guideline: Placenta praevia; NICE antenatal care