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OBG · Antepartum hemorrhage
Sample itemWhat bleeding pattern is typical of placental abruption?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Painful bleeding with uterine tenderness
Placental abruption often causes painful vaginal bleeding, uterine tenderness, and increased tone because blood collects behind a prematurely separated placenta.
Option by option
A. Painless bright bleeding
Painless bleeding is more typical of placenta previa.
B. Itchy vaginal discharge
Itchy discharge suggests vaginitis rather than abruption.
C. Painful bleeding with uterine tenderness (correct)
Correct: pain and tender uterus support placental abruption.
D. No abdominal symptoms
Abruption often produces abdominal or uterine symptoms.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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