A nursing professor is describing placental abruption to a class ...

[ENagel]

A nursing professor is describing placental abruption to a class of nursing students. What information is included? (Select all that apply.)
 
  A.
  Cesarean delivery is almost always needed.
  B.
  Complications include couvelaire uterus and DIC.
  C.
  Fetal and maternal death may occur.
  D.
  Hysterectomy may be necessary to control bleeding.
  E.
  Pelvic and vaginal exams are not performed.

Question 2

A perinatal nurse is aware that which of the following fetal conditions places a woman at risk for oligohydramnios? (Select all that apply.)
 
  A.
  Fetal renal abnormalities
  B.
  Maternal diabetes
  C.
  Multiple gestations
  D.
  Poor placental perfusion
  E.
  Premature rupture of membranes

[CourtneyCNorton]

Answer to Question 1

ANS: B, C, D, E
Placental abruption is a serious condition that can lead to both fetal and maternal death. Other complications include couvelaire uterus and DIC. Bleeding may be so severe that a hysterectomy is needed. To prevent further damage, vaginal and pelvic exams are not performed. Vaginal birth is desirable; cesarean birth is reserved for cases of fetal distress or other obstetric indications and should not be attempted if the woman has severe and uncorrected coagulopathy.

Answer to Question 2

ANS: A, D, E
Conditions that increase the risk of oligohydramnios include fetal renal abnormalities, poor placental perfusion, and premature rupture of membranes. Maternal diabetes and multiple gestation are risk factors for (poly)hydramnios.

[ENagel]

Excellent

[kjohnson]

TYSM