Your patient is a 42-year-old female who is alert and upset, complaining of vaginal bleeding. She states that the bleeding began ten hours ago and is heavier than her normal menstrual flow. Her last menstrual period was four months ago, G3P3, and there is no other significant gynecologic history. Physical exam reveals dark red blood from her vagina, a soft and non-tender abdomen and skin that is
warm and dry. HR = 92, BP = 114/76, RR = 12, SpO2 = 98%. This is most consistent with:
A) ectopic pregnancy.
B) pelvic inflammatory disease.
C) menopause-related dysfunctional uterine bleeding.
D) spontaneous abortion.
D
Health Professions
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