Practice Quiz

CPM Certified Professional Midwife

Category - Labor, Birth, and Immediate Postpartum

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A 25 years old female reports significant bleeding from her genital tract after the 28th week of her pregnancy. Of the following possibilities, which is most likely to be the probable cause? (Choose all that apply)
  1. Carcinoma of the cervix
  2. Genital sepsis
  3. Cephalopelvic disproportion
  4. Local trauma
Explanation
Answer: A - Carcinoma of the cervix and D. Local trauma

This may be a case of antepartum hemorrhage. Causes of antepartum hemorrhage include:
1) Placenta previa
2) Abruptio placentae
3) Cervical polyps
4) Carcinoma of the cervix
5) Local trauma
6. Vaginal varicosities (varicose veins of the vagina)
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