WEBVTT 00:00:00.000 --> 00:00:03.410 align:middle line:90% 00:00:03.410 --> 00:00:05.580 align:middle line:90% "Maria". 00:00:05.580 --> 00:00:09.810 align:middle line:84% This G2P1 gives us a confusing history. 00:00:09.810 --> 00:00:12.240 align:middle line:84% It sounds like she's been pregnant approximately 00:00:12.240 --> 00:00:16.830 align:middle line:84% 30 weeks, although she can't recall her LMP. 00:00:16.830 --> 00:00:20.880 align:middle line:84% No pain but bleeding for about two days. 00:00:20.880 --> 00:00:23.280 align:middle line:84% Of course she hasn't had prenatal care, 00:00:23.280 --> 00:00:26.790 align:middle line:84% and God, only knows where the father is. 00:00:26.790 --> 00:00:31.110 align:middle line:84% She works two jobs that keep her on her feet all day. 00:00:31.110 --> 00:00:33.450 align:middle line:84% She's been in the United States six months 00:00:33.450 --> 00:00:36.480 align:middle line:84% and doesn't speak a word of English. 00:00:36.480 --> 00:00:39.030 align:middle line:90% Bet you she's illegal. 00:00:39.030 --> 00:00:41.470 align:middle line:90% Cervical exam is unremarkable. 00:00:41.470 --> 00:00:43.890 align:middle line:90% The OS is closed. 00:00:43.890 --> 00:00:47.640 align:middle line:84% I think we need an ultrasound to tell us more. 00:00:47.640 --> 00:00:50.190 align:middle line:84% Besides a look at her placenta, we 00:00:50.190 --> 00:00:53.640 align:middle line:84% need some confirmation of her dates. 00:00:53.640 --> 00:00:57.740 align:middle line:84% Her uterus can tell us more than she can. 00:00:57.740 --> 00:01:01.000 align:middle line:90%