Home » NCLEX » NCLEX-RN » A 27-year-old healthy primigravida is brought to the labor and birthing room by her husband at 32 weeks’ gestation.
A 27-year-old healthy primigravida is brought to the labor and birthing room by her husband at 32 weeks’ gestation. She experienced a sudden onset of painless vaginal bleeding. Following an ultrasound examination, the diagnosis of bleeding secondary to complete placenta previa is made. Expected assessment findings concerning the abdomen would include:
A. A rigid, boardlike abdomen
B. Uterine atony
C. A soft relaxed abdomen
D. Hypertonicity of the uterus
Correct Answer: C
Explanation/Reference:
Explanation:
(A) A rigid, boardlike abdomen is an assessment finding indicative of placenta abruptio. (B) A cause of postbirth hemorrhage is uterine atony. With placenta previa, uterine tone is within normal range. (C) The placenta is located directly over the cervical os in complete previa. Blood will escape through the os, resulting in the uterus and abdomen remaining soft and relaxed. (D) In placenta abruptio, hypertonicity of the uterus is caused by the entrapment of blood between the placenta and uterine wall, a retroplacental bleed. This does not exist in placenta previa.
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