Gynaecology & Obstetrics

20 learning units • 100 chapter sections • 200 explained questions. Assess pregnancy and reproductive health, recognise emergencies and plan respectful treatment, referral and follow-up.

Original RAHBAR study material for the Year 5 learning pathway. Clinical cases support supervised undergraduate learning. Treatment choices, doses and procedures must follow current local protocols and the responsible clinical team. References & further reading ↓

MODULE 07 / 20

Antepartum Haemorrhage & Placental Disorders

Prioritise stabilisation and distinguish placental causes of bleeding in later pregnancy.

Answer all 10 questions, then submit to see your score and explanations. This is a self-study exercise; results are not saved.

Question 01. What is the first priority in major antepartum bleeding? A. Complete a routine antenatal questionnaire firstB. Assess stability and begin appropriate emergency careC. Wait for bleeding to stop unaidedD. Arrange only an outpatient scan

Question 02. Can concealed abruption cause shock with little visible bleeding? A. NoB. Only after deliveryC. YesD. Only with a known low placenta

Question 03. Which examination should await exclusion of placenta praevia? A. Blood pressure measurementB. Pulse assessmentC. Abdominal observationD. Digital vaginal examination

Question 04. Can trained transvaginal ultrasound help localise a low placenta? A. No, it is always prohibitedB. Only after hysterectomyC. YesD. Only if labour has ended

Question 05. Painful bleeding with uterine tenderness suggests which important possibility? A. Uncomplicated physiological dischargeB. Normal fetal growthC. Placental abruptionD. Isolated urinary frequency

Question 06. Does a normal ultrasound exclude abruption? A. Yes, completelyB. NoC. Only if the scan is briefD. Only in a first pregnancy

Question 07. Which history increases concern for accreta with a low placenta? A. Previous uterine surgery or caesarean scarB. Corrected short sightC. Childhood tonsillitis aloneD. An uncomplicated dental filling

Question 08. Why identify accreta before birth? A. To organise specialist care and haemorrhage planningB. To guarantee blood loss will be absentC. To remove the need for consentD. To make all surgery unnecessary

Question 09. Whose blood is threatened by ruptured vasa praevia? A. Only maternal venous bloodB. The fetus’s bloodC. Only amniotic fluidD. Only cervical mucus

Question 10. What should a placental-disorder care plan communicate? A. Only the chosen baby nameB. A promise that bleeding cannot recurC. Warning signs, emergency access and birth arrangementsD. No receiving-team details

0 / 10 answered

References & Further Reading

Read the relevant guideline sections alongside these original clinical teaching cases. Local pathways, available services and individual patient factors determine care.

Reference review: 28 September 2026. Consult current local protocols for prescribing, procedures and escalation.