Placenta previa: The Daily PANCE Blueprint
Which of the following is a contraindication in a patient with suspected placenta previa?
A. Transvaginal ultrasound
B. Non-stress test
C. Digital cervical examination
D. Fetal heart monitoring
E. Serial hemoglobin measurements
Answer and topic summary
The answer is C. Digital cervical examination
Digital cervical examination is contraindicated in suspected placenta previa because it can disrupt the placenta and cause significant hemorrhage. Placenta previa occurs when the placenta partially or completely covers the cervical os. The condition typically presents as painless third-trimester vaginal bleeding, and diagnosis is made via transabdominal followed by transvaginal ultrasound, which is safe and more accurate. Initial evaluation includes fetal heart monitoring and a non-stress test to assess fetal well-being. Management depends on the severity of bleeding and gestational age, but digital exam is avoided to prevent provoking massive hemorrhage.
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