Which of the following would the nurse assess in a client - ProProfs Discuss
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Which of the following would the nurse assess in a client experiencing abruptio placenta? 



A. Bright red, painless vaginal bleeding
B. Concealed or external dark red bleeding
C. Palpable fetal outline
D. Soft and nontender abdomen

This question is part of Maternal and Child Health Nursing (Intrapartum and Postpartum)
Asked by Nursejbv, Last updated: Jul 06, 2020

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2 Answers

W. Mocroft

Love to do some charity work. Have a passion for writing and do it in my spare time

W. Mocroft, Philanthropist, Master Degree in International Business, Las Vegas

Answered Jan 31, 2019

Correct answer is option B – concealed or external dark red bleeding
Placental abruption is the premature separation (partial or complete) of placenta from the uterine wall before delivery of infant. The most common presentation of placental abruption is a concealed or external dark red vaginal bleeding with intense pain during the third trimester.

Placental previa is the attachment of placenta to lower uterine segment over internal cervical os. It presents with bright red, painless vaginal bleeding in the third trimester. Palpable 0fetal outline, soft and non-tender abdomen are presentations of placental previa.

 

John Smith

John Smith

Answered Dec 09, 2016

Concealed or external dark red bleeding

A client with abruptio placentae may exhibit concealed or dark red bleeding, possibly reporting sudden intense localized uterine pain. The uterus is typically firm to boardlike, and the fetal presenting part may be engaged. Bright red, painless vaginal bleeding, a palpable fetal outline and a soft nontender abdomen are manifestations of placenta previa.
 

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