Sudden Severe Lower Abdominal in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#18448

SMLE Question #18448

Obstetrics & Gynecology General Gynecology

Objective: OBJ-OBG-ABRUPTIO-RISK

Last updated: February 2026
A 32-year-old G3P2 woman at 34 weeks’ gestation presents with sudden severe lower abdominal pain and vaginal bleeding. Examination shows a firm, tender uterus. Continuous fetal monitoring shows recurrent late decelerations. Which of the following is the most important maternal risk factor for placental abruption?

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