Placenta Previa Vs Abrupio Placenta

Question 1

What is Abruptio placenta?

Answer 1

When the placenta detached itself from there uterine wall

Question 2

What is placenta previa?

Answer 2

The placenta is covering or near the cervix, blocking opening to vagina

Question 3

Signs of Abruptio placenta

Answer 3

Sudden painful bleeding with contractions and uterine tenderness

Question 4

Signs of placenta previa

Answer 4

Sudden painless bleeding

Bright red in color

Usually seen in the third trimester

Question 5

7 Risk factor for abruptio placenta

Answer 5

1. ) HTN
2. ) diabetes
3. )smoking
4. )alcohol
5. ) drugs
6. ) domestic violence
7. ) motor vehicle collision

Question 6

Risk factors for placenta previa

Answer 6

1. ) previous C section
2. ) multiparity
3. ) older age mother

Question 7

Dangers of abruptio placenta?

Answer 7

1. ) decrease 02 and nutrients to the fetus
2. ) premature birth
3. ) blood clots

Question 8

Dangers of placenta previa

Answer 8

1. ) maternal hemorrhage

2. ) premature labor

Question 9

Nursing interventions for abruptio placenta

Answer 9

1. ) bed rest
2. ) C section if baby is term
3. ) frequent vitals
4. ) blood transfusion maybe need so type and cross mother

Question 10

Nursing interventions for placenta previa

Answer 10

1. ) bed rest
2. ) C section if baby is term
3. ) frequent vitals
4. ) blood transfusion maybe need so type and cross mother

Question 11

Both condition require what 3 interventions?

Answer 11

1. ) frequent vitals
2. ) fetal ultrasound
3. ) fetal heart monitoring

Question 12

Which condition has more bleeding ?

Answer 12

Placenta previa

Question 13

Which condition wot create a rigid board like abdomen?

Answer 13

Abruptio placenta

Question 14

Abruptio placenta cause which blood clotting disorder ?

Answer 14

disseminated intravascular coagulation (DIC)

Question 15

If a pregnant client is bleeding vaginally, what must u never do?

Answer 15

A vaginal exam

Question 16

Tx for Placenta Previa

Answer 16

Tx:

b. If there’s not much bleeding→ ____bedrest and watch very close.
c. Rule out other sources of bleeding like abruption.
d. Monitor blood count and monitor ______baby_ closely.
e. _____pat__ counts
f. Monitor for contractions → call MD (not going to be a normal delivery)
g. Delivery method of choice? c section
h. Do not perform ____________vaginal______ exam

a. Complete previa usually requires hospitalization (from as early as 32 weeks until
birth) to prevent blood loss and fetal ___ hypoxia__ if client goes into labor