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Practice Question

A nurse is caring for a client who is at 34 weeks of gestation.

Answer Choices:

Rationale:

Hematocrit level – Consistent with Both Placenta Previa and Abruptio Placenta

❖ A hematocrit of 30% (below the normal threshold of 33% in pregnancy) indicates maternal blood loss.

❖ In placenta previa, blood loss is typically external and visible, causing gradual reductions in hematocrit.

❖ In abruptio placentae, bleeding can be concealed or external, and significant internal bleeding can lower hematocrit quickly.

❖ Therefore, a decreased hematocrit can reflect hemorrhagic complications in both conditions.

❖ It is important to monitor for signs of hypovolemia and initiate fluid replacement promptly in either case.

Client's Pain Level – Consistent with Placenta Previa

❖ The client reports no abdominal pain, which is classic for placenta previa.

❖ Placenta previa typically causes painless, bright red vaginal bleeding due to the placenta being located near or over the cervical os.

❖ In contrast, abruptio placentae often presents with sudden, severe abdominal pain due to premature placental separation.

❖ Absence of pain in this client makes placenta previa more likely than abruption.

❖ Pain assessment helps differentiate the underlying cause of bleeding during the third trimester.

Fundal Height – Consistent with Both Placenta Previa and Abruptio Placenta

❖ The fundal height is 37 cm at 34 weeks gestation, which is larger than expected.

❖ An increased fundal height can result from concealed bleeding (seen in abruptio placentae), or placental abnormalities (such as previa).

❖ In abruption, blood accumulates behind the placenta and may cause uterine distention, increasing fundal height.

❖ In previa, repeated bleeding episodes may also cause uterine enlargement or contribute to polyhydramnios, raising fundal height.

❖ Therefore, this finding is non-specific and can occur in both conditions.

Uterine Tone – Consistent with Placenta Previa

❖ The uterus is described as soft and nontender, which is indicative of placenta previa.

❖ In placenta previa, there is no placental separation, so the uterus does not become irritable or firm.

❖ In contrast, abruptio placentae typically presents with a firm, rigid, and tender uterus due to the accumulation of blood in the uterine wall.

❖ Uterine tone is a critical clinical indicator to differentiate between these conditions.

❖ A soft uterus without pain makes abruption less likely in this client.

Description of Vaginal Bleeding – Consistent with Placenta Previa

❖ The client is experiencing bright red vaginal bleeding, which is classic for placenta previa.

❖ In placenta previa, bleeding originates from the placental site near the cervix, leading to fresh, bright red blood.

❖ This bleeding is often painless and recurrent during the third trimester.

❖ In abruptio placentae, bleeding is usually dark red and often accompanied by pain and uterine tenderness.

❖ Therefore, this bleeding pattern strongly supports a diagnosis of placenta previa.

Want to practice more questions like this?

This question is from Custom: NUR 2463 Exam #2 which contains 20 questions.

More Questions from This Exam
A nurse is admitting a client who is at 37 weeks of gestation and has severe gestational hypertension. Which of the following actions should the nurse expect to implement? (Select all that apply.)

Answer Choices:

A. Provide a dark, quiet environment.
B. Administer magnesium sulfate IV.
C. Assess respiratory status every 4 hr.
D. Evaluate neurologic status every 8 hr.
E. Ensure that calcium gluconate is readily available.
From Exam
Custom: NUR 2463 Exam #2

20 Questions

View Full Exam Start Practicing
Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN Custom Exam(s)
  • Answer Choices: 0
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