Abruptio Placentae: Providing Patient Care for the Patient with Flashcards
Abruptio placentae (AP) can occur due to abdominal trauma artificial insemination procedures ultrasound examinations all of the above
abdominal trauma
Caring for a patient with AP can include assessing for vaginal bleeding monitoring vital signs preparing the patient for delivery of the fetus all of the above
all of the above
While caring for a patient with AP, you receive an order to administer corticosteroids. You recognize that this is prescribed to decrease placental inflammation promote fetal lung maturity prevent future bleeding none of the above
promote fetal lung maturity
While admitting a patient with AP, you anticipate receiving orders to draw the following laboratory tests: CBC Blood type and cross match Blood cultures a) and b) b) and c)
a)CBC and b)Blood type and cross match
Which of the following is not a symptom of AP? Maternal tachycardia Hypotension Rigid uterus Fever
Fever
The husband of a patient with AP asks, “What can you do to stop the bleeding?” What is the best answer?
“It is not possible to stop the placental separation and resulting bleeding. Unfortunately, the baby will not make it.”
“It is not possible to stop the placental separation and resulting bleeding. We are doing our best to reduce the risk of complications due to the bleeding.”
“We will not be able to stop the bleeding until we can determine the cause of the placental separation.”
“The treating clinician may decide to take the patient to the operating room to reattach the placenta and stop the bleeding.”
“It is not possible to stop the placental separation and resulting bleeding. We are doing our best to reduce the risk of complications due to the bleeding.”
AP can be fatal if not identified and treated early. Education is provided to pregnant patients to report to the hospital immediately for symptoms of AP, which all of the following, except vaginal bleeding severe abdominal/back/uterine pain consistent cramping or contractions extreme fatigue
extreme fatigue
You are admitting a patient with suspected AP. The patient’s husband says to you, “She ate last at about 8 pm last night. That was almost 12 hours ago. Shouldn’t she have a little something to eat?” What is your response?
“She must be starving. I will get something right away.”
“She is not allowed to have anything to eat or drink in the event surgery or delivery of the fetus is necessary.”
“She should be able to tolerate a few more hours without food. We can talk about this again at lunch time.”
“She is not allowed to eat or drink, but I will get her a little something from the kitchen.”
“She is not allowed to have anything to eat or drink in the event surgery or delivery of the fetus is necessary.”
An experienced antenatal nurse receives phone orders for an incoming patient with known AP. She begins to gather all of the following supplies, except
fetal monitoring devices and blood transfusion supplies
laboratory collection supplies and oxygen source/tubing/nasal cannula or mask
PPE and vital sign monitoring equipment, including pulse oximeter
ventilator and supplies for placement of indwelling urinary catheter
ventilator and supplies for placement of indwelling urinary catheter
A patient with AP asks you, “Why did the last nurse tell me to lie on my left side? Does it really matter what side I lie on?” You reply,
“It is easier for us to reach your I.V. tubing if you are lying on your left side.”
“No. You should lie in the position that is most comfortable for you.”
“Lying on your left side with your head elevated promotes blood flow to your placenta.”
None of the above
“Lying on your left side with your head elevated promotes blood flow to your placenta.”
An inpatient with AP rings her call bell and states that though her vaginal bleeding had previously stabilized and subsided, she has just voided and the toilet is full of bright red blood. The nurse
returns the patient to bed and performs a thorough assessment of the patient, including vital signs, bleeding, and uterine contractions, and reports the assessment findings to the treating clinician
returns the patient to bed and initiates continuous electronic fetal monitoring
returns the patient to bed and prepares the patient for imminent cesarean delivery
reassures the patient that it is normal to have episodes of bright red vaginal bleeding in cases of known AP
returns the patient to bed and performs a thorough assessment of the patient, including vital signs, bleeding, and uterine contractions, and reports the assessment findings to the treating clinician
The nurse knows that all of the following are risk factors for AP, except elevated maternal blood pressure subclinical hypothyroidism gestational diabetes history of AP cigarette smoking
gestational diabetes
The nurse is reviewing blood tests that were taken for a patient who has AP. The nurse expects to review the following test results: Blood glucose WBCs Hct Hgb a) and c) b) and d) c) and d)
c)Hct and d)Hgb
The nurse is assessing a patient with AP. The nurse positions the patient supine and measures the patient’s fundal height by
measuring from the pelvic bone to the fundus
measuring from the pelvic bone to the umbilicus
measuring from the pelvic bone to the xiphoid process
applying a tocometer to the abdomen
measuring from the pelvic bone to the fundus
A patient being worked up for placental abruption verses preterm labor says to you, “I thought placental abruption always presented with bleeding. I have not even had any spotting.” You reply,
“The presence of bleeding is how we distinguish between placental abruption and preterm labor.”
“Placental abruption typically presents with bleeding only in cases of abdominal trauma.”
“Placental abruption can present with or without bleeding.”
“If you’ve had no sign of spotting or bleeding, they will likely rule out placental abruption.”
“Placental abruption can present with or without bleeding.”
