Placental Disorders (NCLEX): Previa vs Abruption

1. Which type of placenta previa allows vaginal delivery if there is adequate fetal maturity?

Complete previa

Partial previa

Marginal previa

Total previa

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3. Which fetal complication is most common in placental abruption?

Congenital anomalies

Intrauterine growth restriction

Hypoxia and fetal distress

Hydrops fetalis

4. A client with placental abruption at 34 weeks is stable with fetal heart rate reassuring. What is the appropriate management?

Immediate cesarean delivery

Hospitalization, fetal monitoring, and expectant management if bleeding stops

Discharge home with strict bed rest

Oral iron supplementation only

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6. Which laboratory finding is most significant in a client with suspected placental abruption?

Decreased hemoglobin

Elevated liver enzymes

Prolonged PT/INR and low platelets

Elevated glucose

7. A client at 28 weeks with placenta previa is advised to avoid which activity?

Walking

Sexual intercourse

Reading

Watching television

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9. Which maternal condition increases the risk for placenta previa?

Gestational diabetes

Maternal age over 35

Advanced maternal age and prior uterine surgery

Oligohydramnios

10. A client with placental abruption presents with uterine tenderness and board-like rigidity. This indicates which complication?

Placental insufficiency

Concealed hemorrhage with possible uterine rupture

Preeclampsia

Amniotic fluid embolism

11. Which placental disorder is characterized by painless vaginal bleeding in the third trimester?

Placenta previa

Placental abruption

Placental insufficiency

Vasa previa

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13. Maternal trauma is a significant risk factor for which placental disorder?

Placenta previa

Placental abruption

Placental insufficiency

Circumvallate placenta

14. A client with placenta previa at term is scheduled for cesarean delivery. Which complication is most concerning?

Severe maternal hemorrhage

Fetal macrosomia

Gestational diabetes

Polyhydramnios

15. Which finding on ultrasound is most consistent with placenta previa?

Placental edge covering the internal cervical os

Dark intra-placental collection

Increased placental thickness

Decreased amniotic fluid

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17. A pregnant client at 32 weeks with placental abruption has severe vaginal bleeding and fetal distress. What is the priority nursing action?

Insert two large-bore IV lines and prepare for emergency cesarean delivery

Perform a vaginal exam to assess cervical dilation

Administer oral iron supplements

Schedule an outpatient ultrasound

18. Which of the following is a risk factor for placenta previa?

Maternal hypertension

Multiple previous cesarean deliveries

Cocaine use

Preeclampsia

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20. A client with placental abruption typically presents with which symptom?

Painless bleeding

Painful vaginal bleeding and abdominal pain

Increased fetal movement

Polyhydramnios

Placenta Quiz: Previa or Abruption?

1. Which type of placenta previa allows vaginal delivery if there is adequate fetal maturity?

2.

What first name or nickname would you like us to use?

2. A client with placenta previa diagnosed at 20 weeks should be counseled that the condition may resolve as the uterus ____.

3. Which fetal complication is most common in placental abruption?

4. A client with placental abruption at 34 weeks is stable with fetal heart rate reassuring. What is the appropriate management?

5. In placenta previa, the placenta partially or completely covers the internal ____.

6. Which laboratory finding is most significant in a client with suspected placental abruption?

7. A client at 28 weeks with placenta previa is advised to avoid which activity?

8. Placental abruption classified as concealed has bleeding that accumulates ____.

9. Which maternal condition increases the risk for placenta previa?

10. A client with placental abruption presents with uterine tenderness and board-like rigidity. This indicates which complication?

11. Which placental disorder is characterized by painless vaginal bleeding in the third trimester?

12. In placental abruption, blood accumulates between the placenta and ____.

13. Maternal trauma is a significant risk factor for which placental disorder?

14. A client with placenta previa at term is scheduled for cesarean delivery. Which complication is most concerning?

15. Which finding on ultrasound is most consistent with placenta previa?

16. Placental abruption is the premature separation of the placenta from the ____.

17. A pregnant client at 32 weeks with placental abruption has severe vaginal bleeding and fetal distress. What is the priority nursing action?

18. Which of the following is a risk factor for placenta previa?

19. Placenta previa occurs when the placenta implants over the ____.

20. A client with placental abruption typically presents with which symptom?