Sudden-onset in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#17647

SMLE Question #17647

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 32-year-old G3P2 woman at 33+4 weeks gestation presents to obstetric triage with sudden-onset, severe lower abdominal pain and dark vaginal bleeding for 1 hour. She reports decreased fetal movements. Examination shows a firm, tender uterus with frequent contractions, and fundal height is difficult to assess due to increased uterine tone. Continuous fetal monitoring shows recurrent late decelerations. Which of the following is a major risk factor for placental abruption?

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