A 27-year-old healthy primigravida is brought to the labor and birthing room by her husband at 32 weeks' gestation. She experienced a sudden onset of painless vaginal bleeding. Following an…

The correct answer is C. A soft relaxed abdomen. (A) A rigid, boardlike abdomen is an assessment finding indicative of placenta abruptio. (B) A cause of postbirth hemorrhage is uterine atony. With placenta previa, uterine tone is within (C) The placenta is located directly over the cervical os in complete previa. Blood will…

Physiological Integrity: Physiological Adaptation

Question

A 27-year-old healthy primigravida is brought to the labor and birthing room by her husband at 32 weeks' gestation. She experienced a sudden onset of painless vaginal bleeding. Following an ultrasound examination, the diagnosis of bleeding secondary to complete placenta previa is made. Expected assessment findings concerning the abdomen would include:

Options

AA rigid, boardlike abdomen
BUterine atony
CA soft relaxed abdomen
DHypertonicity of the uterus

How the community answered

(24 responses)

A
4% (1)
C
92% (22)
D
4% (1)

Explanation

(A) A rigid, boardlike abdomen is an assessment finding indicative of placenta abruptio. (B) A cause of postbirth hemorrhage is uterine atony. With placenta previa, uterine tone is within (C) The placenta is located directly over the cervical os in complete previa. Blood will escape through the os, resulting in the uterus and abdomen remaining soft and relaxed. (D) In placenta abruptio, hypertonicity of the uterus is caused by the entrapment of blood between the placenta and uterine wall, a retroplacental bleed. This does not exist in placenta previa.

Topics

#placenta previa#painless vaginal bleeding#abdominal assessment#pregnancy complications

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