Premature partial or complete separation of the placenta
Manifestation:
Painful dark red vaginal bleeding
Laboratory Data:
Ultrasound detects retroplacental bleeding
Nursing Diagnosis:
Risk for fluid Volume Deficit
Intervention:
- Maintain bedrest
- Administer fluids
- Provide psychological Support
Sample Question: A 26-year-old woman who is hospitalized because of abruption placentae should be carefully assessed for which of the following complications?
A. Toxic Syndrome
B. Pulmonary Embolism
C. Cerebrovascular accident
D. Disseminated intravascular coagulation
Answer: (D)
Placenta Previa
Placenta attaches low in the uterus
Manifestation:
Panless bright red vaginal bleeding after the 7th month of pregnancy
Laboratory Data:
Ultrasound will show the location of placenta
Nursing Diagnosis:
Potential fluid volume deficit
Intervention:
- Immediate bed rest
- Administer IV fluids as ordered
- Do not perform vaginal exam
Sample Question: Because a woman who is confirmed to be at 30 weeks gestation has sudden painless bright red vaginal bleeding, a nurse would suspect the woman is experiencing:
A. Abruptio Placenta
B. An ectopic pregnancy
C. Placenta Previa
D. A molar pregancy
Answer: (C)