A woman is admitted with vaginal bleeding at approximately 10 weeks of gestation. Her fundal height is 13 cm. Which potential problem should be investigated?
a. Placenta previa
b. Disseminated intravascular coagulation (DIC)
c. Hydatidiform mole
d. Abruptio placentae
C
Placenta previa usually occurs in the third trimester. Painless uterine bleeding is the classic symptom. DIC is a life-threatening complication of abruptio placentae in which procoagulation and anticoagulation factors are simultaneously activated. Gestational trophoblastic disease is usually detected in the first trimester of pregnancy. The frequency of this condition is highest at both ends of a woman's reproductive life. Abruptio placentae usually occurs in the third trimester. Painful uterine bleeding is the classic symptom.
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