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Abruptio Placentae Nursing Quiz

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Text Mode – Text avowment of the exam 1. A 39-year-old at 37 weeks gestation is admitted to the hospital succeedingcited a while repinings of vaginal bleeding forthcoming the use of cocaine 1 hour prior. Which confusion is most slight causing the client’s repining of vaginal bleeding?
  1. Placenta previa
  2. Abruptio placentae
  3. Ectopic pregnancy
  4. Spontaneous pigmy
2. A fraught dame arrives at the difficulty office (ED) succeedingcited a while abruptio placentae at 34 weeks’ gestation. She’s at abandon for which of the forthcoming dignity dyscrasias?
  1. Thrombocytopenia.
  2. Idiopathic thrombocytopenic purpura (ITP).
  3. Disseminated intravascular coagulation (DIC).
  4. Heparin-associated thrombosis and thrombocytopenia (HATT).
3. A maternity promote is caring for a client succeedingcited a while abruptio placentae and is monitoring the client for disseminated intravascular coagulopathy. Which tribute judgment is meanest slight to be associated succeedingcited a while disseminated intravascular coagulation?
  1. Swelling of the calf in one leg
  2. Prolonged clotting spells
  3. Decreased platelet count
  4. Petechiae, oozing from introduction predicaments, and hematuria
4. A promote is assessing a fraught client in the 2nd trimester of pregnancy who was admitted to the maternity individual succeedingcited a while a reported peculiarity of abruptio placentae. Which of the forthcoming tribute judgments would the promote endure-for to melody if this stipulation is bestow?
  1. Absence of abdominal affliction
  2. A unmanly abdomen
  3. Uterine humanity/pain
  4. Painless, radiant red vaginal bleeding
5. An ultrasound is effected on a client at tidings gestation that is experiencing calm vaginal bleeding. The conclusions of the ultrasound mark that an abruptio placentae is bestow. Based on these judgments, the promote would order the client for:
  1. Complete bed cessation for the residue of the pregnancy
  2. Delivery of the fetus
  3. Strict monitoring of intake and output
  4. The demand for weekly monitoring of coagulation studies until the spell of rescuey
6. Which of the forthcoming is forcible as rash disconnection of a regularly implanted placenta during the promote half of pregnancy, usually succeedingcited a while stern hemorrhage?
  1. Placenta previa
  2. Ectopic pregnancy
  3. Incompetent cervix
  4. Abruptio placentae
7. Which of the forthcoming would the promote assess in a client experiencing abruptio placenta?
  1. Bproper red, afflictionless vaginal bleeding
  2. Concealed or manifest black red bleeding
  3. Palpable fetal plan
  4. Soft and nontender abdomen
8.Which of the forthcoming increases the abandon of placental abruption?
  1. Age < 35 years
  2. Gestational diabetes
  3. Previous placental abruption
  4. Strenuous exercise

Answers & Rationale

  1. Answer: B. Abruptio placentae. The senior tender irrelevant reactions from cocaine use in pregnancy understand unbidden pigmy primitive, not third, trimester pigmy and abruptio placentae.
  2. Answer: C. Disseminated intravascular coagulation (DIC). Abruptio placentae is a object of DIC accordingly it activates the clotting cascade succeedingcited hemorrhage.
    • Option A: Thrombocytopenia conclusions from decreased product of platelets.
    • Option B: ITP doesn’t entertain a confident object.
    • Option D: A enduring succeedingcited a while abruptio placentae wouldn’t get heparin and, as a conclusion, wouldn’t be at abandon for HATT.
  3. Answer: A. Swelling of the calf in one leg. DIC is a recite of verbose clotting in which clotting factors are consumed, inherent to received bleeding. Platelets are decreased accordingly they are consumed by the process; coagulation studies illusion no clot shape (and are thus regular to prolonged); and fibrin plugs may impede the microvasculature verbosely, rather than in an unblended area. The closeness of petechiae, oozing from introduction predicaments, and hematuria are signs associated succeedingcited a while DIC. Swelling and affliction in the calf of one leg are further slight to be associated succeedingcited a while thrombophlebitis.
  4. Answer: C. Uterine humanity/pain. In abruptio placentae, intelligent abdominal affliction is bestow. Uterine humanity and affliction endure-on placental abruption, in-particular succeedingcited a while a accessible abruption and trapped dignity succeedingcited the placenta. The abdomen obtain affect flinty and board-like on palpation as the dignity penetrates the myometrium and objects uterine sensibility. Observation of the fetal monitoring repeatedly reveals increased uterine cessationing drift, objectd by the deficiency of the uterus to slacken in an endeavor to constrict dignity vessels and administer bleeding.
  5. Answer: B. Delivery of the fetus.The end of superintendence in abruptio placentae is to administer the hemorrhage and rescue the fetus as promptly as potential. Delivery is the composition of dainty if the fetus is at tidings gestation or if the bleeding is calm to stern and the dame or fetus is in danger.
  6. Answer D. Abruptio placentae. Abruptio placentae is forcible as rash disconnection of a regularly implanted placenta during the promote half of pregnancy, usually succeedingcited a while stern hemorrhage. Placenta previa refers to introduction of the placenta in the inferior uterine section, causing afflictionless bleeding in the third trimester of pregnancy. Ectopic pregnancy refers to the introduction of the products of brains in a predicament other than the endometrium. Incompetent cervix is a conduction characterized by afflictionful dilation of the cervical os succeedingcited a whileout uterine contractions.
  7. Answer B. Concealed or manifest black red bleeding. A client succeedingcited a while abruptio placentae may prove private or black red bleeding, haply reporting unanticipated eager localized uterine affliction. The uterus is typically decided to boardlike, and the fetal bestowing dissect may be betrothed. Radiant red, afflictionless vaginal bleeding, a perceptible fetal plan and a unmanly nontender abdomen are manifestations of placenta previa.
  8. Answer C. Previous placental abruption. The abandon of placental abruption is increased 15- to 20-fold if an prior pregnancy had been involved by placental abruption.6 Other abandon factors understand continuous hypertension, cocaine use, preeclampsia, age balance 35 years, trauma, thrombophilia, cigarette smoking, pretidings rash bursting of membranes, chorioamnionitis, and multiparity

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