This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
True about abruptio placentae are all except: September2008 
Select and explain. 
A. Hypeension in the pregnancy is impoant predisposing factor, B. Placenta lying in the lower segment, C. Tender and hard uterus, D. Continuous bleeding per vaginum
B: Placenta lying in the lower segment
Answer: B: Placenta lying in the lower segment 
Explanation: Ans. B: Placenta Lying in the Lower Segment Abruptio placentae: It is a form of antepaum hemorrhage where bleeding occurs due to premature separation of normally situated placenta. Hypeension in the pregnancy is impoant predisposing factor Symptoms -- Vaginal Bleeding (78%) -- Abdominal Pain (66%)-May be severe and constant, posterior placenta may present with back pain Signs - Vital signs suggestive of cardiovascular compromise-Tachycardia, ohostatic changes in Blood Pressure and pulse - Evaluate for external signs of trauma - Uterus hypeonic or tense (Couvelaire Uterus)-Fundus tender to palpation