Abruptio placentae, or placental abruption, is when the placenta partially or completely detaches prematurely from the uterus, causing a risk for hemorrhage. External fetal monitoring won’t detect a placenta previa, although it will detect fetal distress, which may result from blood loss or placenta separation.A pregnant client is diagnosed with partial placenta previa. What should the nurse do first? She is a registered nurse since 2015 and is currently working in a regional tertiary hospital and is finishing her Master's in Nursing this June. As a nursing student, you must be familiar with the differences between abruptio placentae vs. placenta previa along with the nursing interventions and treatment. The umbilical cord lengthens, and a sudden trickle or spurt of blood appears.A nurse in the postpartum unit is caring for a client who has just delivered a newborn infant following a pregnancy with placenta previa.

Hemoglobin carries oxygen to different parts of the body. External fetal monitoring is crucial in evaluating the fetus that is at risk for severe hypoxia.Rationale: Once the mother and the fetus are stabilized, ultrasound evaluation of the placenta should be done to determine the cause of the bleeding. Amniocentesis is contraindicated in placenta previa.

All rights reserved. Placenta increta leads to deep penetration of the myometrium.A 39-year-old at 37 weeks gestation is admitted to the hospital with complaints of vaginal bleeding following the use of cocaine 1 hour earlier. In placenta previa, the placenta does not embed correctly and results in what is known as a low-lying placenta.

‘Partial placenta previa’ means the cervix is partly blocked, while ‘complete placenta previa’ means the entire cervix is obstructed. Due to large amounts of blood lost, the heart tries to pump faster in order to compensate for blood loss. External fetal monitoring is crucial in evaluating the fetus that is at risk for severe hypoxia.A nurse in the postpartum unit is caring for a client who has just delivered a newborn infant following a pregnancy with placenta previa. They are also entrusted with the outcome of the lives of both the mother and the child.One could move mountains just to save the lives of their mother and child. The placenta implants in the lower uterine segment, near the cervical os. After the delivery, the nurse observes the umbilical cord lengthen and a spurt of blood from the vagina. The nurse documents these observations as signs of: As the placenta separates, it settles downward into the lower uterine segment.

A digital or speculum examination shouldn’t be done as this may lead to severe bleeding or hemorrhage. Changing the client’s position from supine to side-lying may immediately correct the problem. Fluid volume deficit is a state in which an individual is experiencing decreased intravascular, interstitial and/or intracellular fluid. You'll need to be able to get to the hospital quickly if bleeding resumes or gets heavier.If the placenta is low lying but doesn't cover the cervix, you might be able to have a vaginal delivery. In the next review I will discuss abruptio placentae. This is most often seen at 24-26 weeks gestation and is considered a serious complication. Placenta increta leads to deep penetration of the myometrium.The common normal site of nidation/implantation in the uterus is: The embryo’s normal nidation site is the upper portion of the uterus. Which of the following procedures is usually performed to diagnose placenta previa? You have not finished your quiz. Digital examination of the cervix can lead to maternal and fetal hemorrhage. The external fetal monitor shows a pattern of variable decelerations in fetal heart rate. Which of the following procedures is usually performed to diagnose placenta previa? External fetal monitoring is crucial in evaluating the fetus that is at risk for severe hypoxia.Maureen in her third trimester arrives at the emergency room with painless vaginal bleeding. A diagnosis of placenta previa is made by ultrasound. If the implantation is in the lower segment, this is an abnormal condition called placenta previa.A maternity nurse is preparing for the admission of a client in the 3rd trimester of pregnancy that is experiencing vaginal bleeding and has a suspected diagnosis of placenta previa. Which complication is most likely causing the client’s complaint of vaginal bleeding?