A G1P0 presents at 11 weeks gestation with moderate vaginal…

A G1P0 presents at 11 weeks gestation with moderate vaginal bleeding, but no passage of tissue. An ultrasound was done at an earlier routine visit to determine the gestational age and the estimated date of delivery. At that time, it was confirmed to be an intrauterine pregnancy. You do a speculum exam and see that the cervix is dilated. The diagnosis at this point is:

A patient presents for a routine prenatal exam at 30 weeks a…

A patient presents for a routine prenatal exam at 30 weeks and 4 days gestation. She complains of back pain, constipation with hemorrhoids, swelling of her feet and ankles, and mild, irregular, random contractions that do not persist. Which of the following is the best education for this patient?

You are performing a non-stress test on a patient that is 39…

You are performing a non-stress test on a patient that is 39 weeks, 2 days, gestation. Her labor has not yet started and you are trying to determine if it is safe to allow the pregnancy to continue past this point. While evaluating the fetal heart pattern, you notice that there are three accelerations during 20 minutes of testing. This would indicate:

You are assisting in a delivery that has progressed normally…

You are assisting in a delivery that has progressed normally so far. After the delivery of the head, the shoulders appear stuck and become difficult to deliver. In this case of shoulder dystocia, what should be the first maneuver to help facilitate the delivery of the shoulders, and why should delivery occur within five minutes of the head being delivered?

A 37-year-old G7P6 presents at 38 weeks gestation of twins,…

A 37-year-old G7P6 presents at 38 weeks gestation of twins, for induction of labor. She is started on oxytocin, but labor progresses slowly and she is only dilated to 4 cm after 15 hours. The fetuses develop tachycardia and the woman is diagnosed with chorioamnionitis and started on antibiotics. Seven hours later the twins are born and there is hemorrhage with continual blood flowing out the vagina. What is the most likely cause of this?