Questions

Abruptio placentae is a serious pregnancy complication where the placenta separates from the uterine wall before delivery. In this scenario, the nurse should expect the following findings:

1. Persistent uterine contractions: Abruptio placentae can lead to uterine irritability and contractions. These contractions may be painful and can contribute to the separation of the placenta.

2. Board-like abdomen: As the blood accumulates between the separated placenta and the uterine wall, it can cause the uterus to become tense and firm, resulting in a board-like abdomen. This is due to the pooling of blood behind the placenta.

3. Dark red vaginal bleeding: The separation of the placenta can lead to bleeding. The blood may be dark red because it has been trapped behind the placenta and has had time to clot before being expelled. However, the blood may also appear bright red if it is actively bleeding.

These findings are indicative of a potentially life-threatening situation for both the mother and the baby. It is essential for the nurse to recognize these signs and symptoms promptly, as abruptio placentae can lead to maternal hemorrhage and fetal distress. Immediate medical intervention is typically required, and the woman may need to undergo an emergency cesarean section to deliver the baby and manage the complications associated with abruptio placentae.