placenta previa Flashcards
What is a hallmark symptom of placenta previa?
Painless vaginal bleeding in the third trimester
What maternal age is a risk factor for placenta previa?
Over 35 years old
How does high blood pressure affect the risk for placenta previa?
It increases the risk
What pregnancy-related factor increases risk for placenta previa?
Multiple pregnancies or twins
What drug use is a risk factor for placenta previa?
Cocaine use
How is placenta previa diagnosed?
Ultrasound
What is the first action if patient is not in labor?
Immediate bed rest in side-lying position
Why should vaginal exams be omitted in placenta previa?
They can cause more bleeding
What should be assessed for if heavy bleeding occurs?
Signs of hypovolemic shock
What position should the patient be in?
Side-lying position
What delivery method is indicated for placenta previa?
Cesarean section (C-section)
What preparation should be made for possible severe blood loss?
Prepare for blood transfusion
Should labor stimulators be given?
No, stop if already in use
Why are multiple large bore IVs needed?
One for hydration, one for transfusion
What medication should be available for patients using drugs?
Narcan (naloxone)
What medication halts preterm labor in placenta previa?
Terbutaline (a tocolytic)
What medication helps fetal lung development?
Betamethasone (stimulates surfactant production)
