Question

A woman at 29 weeks gestation comes to the ER complaining of vaginal bleeding. The nurse identifies which of the following patient statements is indicative of placenta previa.

A. The bleeding scares me, other than that I feel fine
B. I've been more nauseated during the past few weeks
C. The bleeding started after I carried in 4 bags of groceries
D. I've been having severe abdominal cramps

Answer 1

The statement that suggests placenta previa in a 29-week pregnant woman is, 'The bleeding scares me, other than that I feel fine', due to the absence of pain, which aligns with painless bleeding often seen in placenta previa cases.

Step-by-step explanation:

The correct answer that indicates the symptom of placenta previa in a woman at 29 weeks gestation complaining of vaginal bleeding is 'A. The bleeding scares me, other than that I feel fine'. This statement is indicative of placenta previa because the patient does not report any pain, which is consistent with placenta previa, where bleeding is typically painless. Placenta previa occurs when the placenta partially or completely covers the cervix, leading to antepartum hemorrhage, which is profuse vaginal bleeding after week 24 of pregnancy but before childbirth. The bleeding can be sudden and may occur without any associated pain, which can be a distinguishing factor from other conditions such as placental abruption.