Identify the hallmark of placenta previa that differentiates it ...

[jman1234]

Identify the hallmark of placenta previa that differentiates it from abruptio placenta.
 
  a. Sudden onset of painless vaginal bleedingb. Board-like abdomen with severe painc. Sudden onset of bright red vaginal bleedingd. Severe vaginal pain with bright red bleeding

Question 2

Which of the following assessments would indicate instability in the client hospitalized for placenta previa?
 
  a. BP <90>120 BPMb. FHR moderate variability without accelerationsc. Dark brown vaginal discharge when voidingd. Oral temperature of 99.9F

[Carliemb17]

Answer to Question 1

ANS: a
Feedback
a. Correct. When the placenta attaches to the lower uterine segment near or over the cervical os, bleeding may occur without the onset of contractions or pain.
b. The hallmark for abruptio placenta is pain and a board-like abdomen.
c. Bright red bleeding could be related to abruptio placenta, placenta previa, or other complications of pregnancy.
d. Pain is not a hallmark of placenta previa.

Answer to Question 2

ANS: a
Feedback
a. A decrease in BP accompanied by bradycardia or tachycardia is an indication of hypovolemic shock.
b. FHR with moderate variability can be absent of accelerations during fetal sleep cycles or after maternal sedation.
c. Bright red vaginal bleeding is an indication of current bleeding.
d. Oral temperature may fluctuate based on the client's hydration status. It should be reassessed. Cause for concern is a temperature of 100.4F or more.

[jman1234]

Thank you

[Carliemb17]

No problemo