NCLEX-RN Question #223: Real Exam Question with Answer & Explanation

The correct answer is C. Placenta previa. (A) Menstruation should not occur during pregnancy. (B) Abruptio placentae is marked by painful vaginal bleeding following a premature placental detachment after 20th week of gestation. (C) A low-lying placenta separates from the uterine wall as the uterus contracts and cervix di

Question

Painless vaginal bleeding in the last trimester may be caused by:

Options

AMenstruation
BAbruptio placentae
CPlacenta previa
DPolyhydramnios

Explanation

(A) Menstruation should not occur during pregnancy. (B) Abruptio placentae is marked by painful vaginal bleeding following a premature placental detachment after 20th week of gestation. (C) A low-lying placenta separates from the uterine wall as the uterus contracts and cervix dilates. This separation causes painless bleeding in the 7th-8th month. (D) Polyhydramnios is excessive amniotic fluid.

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