Difficulty: Medium
Average Score: 68%
Simulated
Passage / Scenario
A 32-year-old G3P1 client at 34 weeksÔÇÖ gestation presents with sudden-onset abdominal pain and dark red vaginal bleeding.Item 3 of 6
NursesÔÇÖ Notes
0900: A 32-year-old G3P1 client at 34 weeksÔÇÖ gestation presents with sudden-onset abdominal pain and dark red vaginal bleeding. She reports reduced fetal movement since this morning. The uterus is firm and tender to palpation. Fetal heart rate is 100 bpm with minimal variability. Her history includes mild preeclampsia and occasional tobacco use. BP is 144/92 mmHg, HR 104 bpm, T 98.7┬░F (37.0┬░C), and SpOÔéé is 98% on room air.
1000: A stat transabdominal ultrasound was performed. Findings include a retroplacental hematoma consistent with partial placental abruption. Fetal heart rate remains at 100 bpm with minimal variability. No evidence of placenta previa. Provider notified of results.
The nurse is determining the risks associated with the client's confirmed condition to formulate the plan of care. Drag from word choices to complete the sentence(s). The nurse understands that if this condition is not managed appropriately, the client is at risk for developing...... ,.......... and..........
Correct answer
A,B,D
Rationale
Placental abruption can lead to fetal hypoxia, maternal hemorrhage, and DIC due to impaired placental blood flow and clotting abnormalities.