Yameesh is 32 weeks pregnant. She starts bleeding bright red blood but it is painless. She is very concerned that her baby is going to be born early. Her obstetrician gives her an ultrasound which shows that Yameesh's baby is fine but that there is an issue. Which condition is the obstetrician most likely to diagnose Yameesh with? Placenta previa A bruptio placenta Preeclampsia Miscarriage

The most likely diagnosis for Yameesh is **Placenta Previa**. Here's why: ### Key Points from the Scenario: 1. **Gestational Age**: Yameesh is **32 weeks pregnant**, placing her in the third trimester. 2. **Type of Bleeding**: She is experiencing **bright red, painless bleeding**. 3. **Ultrasound Findings**: The baby is fine, but there's an issue detected via ultrasound. ### Analysis of the Options: 1. **Placenta Previa**: - **Definition**: A condition where the placenta covers part or all of the cervix. - **Symptoms**: Typically presents with **painless, bright red vaginal bleeding** in the second or third trimester. - **Diagnosis**: Confirmed via ultrasound, which would show the abnormal placental placement. - **Relevance to Scenario**: Matches perfectly with Yameesh's presentation. 2. **Placental Abruption (Abruptio Placenta)**: - **Definition**: The premature separation of the placenta from the uterine wall. - **Symptoms**: Usually involves **painful bleeding**, abdominal pain, and uterine contractions. - **Relevance**: Yameesh's bleeding is **painless**, making this less likely. 3. **Preeclampsia**: - **Definition**: A pregnancy complication characterized by high blood pressure and signs of damage to other organ systems. - **Symptoms**: May include high blood pressure, proteinuria, and in severe cases, bleeding due to complications like HELLP syndrome. - **Relevance**: The primary concern isn't just bleeding, and Yameesh's ultrasound showed the baby is fine, making this less directly related. 4. **Miscarriage**: - **Definition**: The loss of a pregnancy before the fetus can survive outside the womb, typically before 20 weeks. - **Symptoms**: Vaginal bleeding, cramping, and passage of tissue. - **Relevance**: At **32 weeks**, it's beyond the typical timeframe for a miscarriage, and the term is generally not used for third-trimester bleeding. ### Conclusion: Given the **painless nature of the bleeding**, the **gestational age**, and the **ultrasound findings**, **Placenta Previa** is the most fitting diagnosis. **Answer:** Placenta previa