This week's episodes include 4 questions about the same patient and her pregnancy from the first trimester to post-partum. 
Remember to say your answers out loud and summarize as we go!

Question 1
A 21-year-old G1P0 who is a smoker presents to the hospital for vaginal bleeding and was found to be pregnant at 13 weeks gestation, and a subchorionic hematoma was found. She has not been had any prenatal care yet. Her vital signs are stable and within normal limits. CBC demonstrates baseline normocytic anemia unchanged from previous lab tests. The patient is known to be Rh(D) negative. Bleeding resolved towards the end of her hospital emergency department stay without admission or intervention. The father of the child’s Rh (D) status is unknown. Select the best choice for the next steps concerning Rh (D) alloimmunization in this patient?

Question 2
Imagine now that we have the same otherwise healthy mother who presents at 25 weeks with sudden onset of vaginal bleeding, abdominal pain, and high-frequency, low-intensity contractions every 3 minutes. Exam shows a tender and hard uterus. Her cervix is closed with speculum exam. Fetal heart tracing is Category 1. CBC shows a slightly worse normocytic anemia, and antibody screen for Rh is still negative. What is the most likely diagnosis?

Stay tuned for parts 3 & 4 coming soon!