Question

The nurse is assessing a pregnant client in the second trimester of pregnancy who was admitted to the maternity unit with a suspected diagnosis of abruptio placentae. Which assessment finding should the nurse expect to note if this condition is present?

A. Bradycardia in the fetus
B. Absence of uterine contractions
C. Dark red vaginal bleeding
D. Soft and non-tender abdomen

Answer 1

In cases of suspected abruptio placentae in a pregnant client in the second trimester, the nurse should expect to see dark red vaginal bleeding. This condition is a severe complication where the placenta detaches from the uterus, posing risks to both mother and fetus.

Step-by-step explanation:

If a pregnant client in the second trimester is suspected to have abruptio placentae, the nurse should expect to note dark red vaginal bleeding as a key assessment finding. Abruptio placentae is a serious condition where the placenta detaches prematurely from the uterus, which can lead to significant bleeding and is a threat to both mother and fetus. The associated bleeding is typically dark red because it is often mixed with amniotic fluid and may not clot as quickly as other types of bleeding. In contrast to some other forms of bleeding during pregnancy, the uterus may be painful and tender to touch, and there can be signs of fetal distress, such as a change in fetal heart rate pattern.