Abruptio Placenta

Question 1

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

Answer 1

Multigravida, 35 (HTN,trauma,cocaine)

Question 2

How is bleeding of Abruptio placenta different from that in placenta previa?

Answer 2

Usually with pain in Abruptio placenta but not in placenta previa, bleeding more voluminous in previa

Question 3

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

Answer 3

18 gauge-to give blood if necessary

Question 4

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

Answer 4

q5-15 mins for bleeding and maternal VS- continuous fetal monitoring, deliver at the earliest sign of fetal distress.

Question 5

How is an infant delivered when Abruptio placenta is present?

Answer 5

Usually C-section

Question 6

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

Answer 6

Higher

Question 7

In what trimester does Abruptio placenta most commonly occur?

Answer 7

Third

Question 8

In Abruptio Placenta, the placenta______

from the uterine wall_____.

Answer 8

Separates, prematurely