sandra
Forum Guru
Topics: 199
Posts: 465
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24. A 35-year-old primigravid woman at 20 weeks'
gestation comes to
the physician because of vaginal pressure and a
watery, pink vaginal
discharge for 1 day. Her temperature is 37.5 C (99.5
F). The uterus is
palpated at the umbilicus. Fetal heart rate is
140/min. Speculum
examination shows that the upper vagina is filled with
bulging, shiny,
smooth membranes. The cervix cannot be palpated.
Which of the following is
the most likely mechanism for these findings?
A
) Abruptio placentae
B
) Cervical incompetence
C
) Premature labor
D
) Uterine anomaly
E
) Uterine infection
b or c?
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| Miradautas Vras
Forum Senior
Topics: 8
Posts: 154
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I'd go for b cervical incompetence. 20 weeks is too early to deem it as preterm labour plus s/o cervical dilation are necessary to lable it as preterm. Looks more like cervical incompetence to me
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| nyimalay
Forum Elite
Topics: 9
Posts: 280
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Yes B.
No sign and symptom of preterm labour i.e Uterine contraction at least 3/30minute and cervical changes.
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| lampard
Forum Newbie
Topics: 6
Posts: 30
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B: Os incompetence
No signs of uterine contractions
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| shahnaz.r
Forum Junior
Topics: 7
Posts: 77
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Looks like cervical incompetence---B
BUT
Does Cervical incompetence explain pink watery vaginal discharge?
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