ABRUPTIO PLACENTA

Question 1

In Abruptio Placenta, the placenta ___ from the uterine wall ___

Answer 1

Separates, Prematurely

Question 2

Abruptio Placenta usually occurs in (prima/multi) gravida over the age of ___.

Answer 2

Multigravida, 35 (HTN, trauma, cocaine are risk factors)

Question 3

How is the bleeding of Abruptio Placenta different from that in Placenta Previa?

Answer 3

Usually with pain in Abruptio but not in Placenta Previa, bleeding more voluminous in Previa (the one that bleeds more has less pain; the one that bleeds less has more pain.)

Question 4

If you are the nurse starting the IV on the client with Abruptio Placenta, what gauge needle should you use?

Answer 4

18 gauge – to give blood if necessary

Question 5

How often should you measure the vital signs, vaginal bleeding, fetal heart rate during Abruptio Placenta?

Answer 5

q5-15 minutes for bleeding and maternal VS - continuous fetal monitoring deliver at earliest sign of fetal distress (vital signs every 15 minutes is standard for unstable patients)

Question 6

How is an infant delivered when abruptio placenta is present

Answer 6

usually CS

Question 7

Is there a higher or lower incidence of fetal death with abruptio placenta compared to placenta previa?

Answer 7

Higher

Question 8

In what trimester does abruptio placenta most commonly occur?

Answer 8

Third