NCLEX-RN Review Questions: Abruptio Placenta

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Questions and Answers

What is a distinguishing characteristic of Abruptio Placenta compared to Placenta Previa?

Bleeding is less voluminous
More common in women under the age of 30
Usually presents with pain (correct)
Typically occurs in primigravida

In Abruptio Placenta, what size needle should be used for starting an IV on the client?

20 gauge (correct)
22 gauge
16 gauge
24 gauge

How often should vital signs, vaginal bleeding, and fetal heart rate be measured during Abruptio Placenta?

Every 4 hours
Every 15 minutes (correct)
Twice daily
Hourly

Is fetal distress a sign for immediate delivery in Abruptio Placenta or Placenta Previa?

Only in Abruptio Placenta (A) Signup and view all the answers

When does Abruptio Placenta most commonly occur in pregnancy?

Third trimester (D) Signup and view all the answers

Should vomiting be induced after ingestion of a cleaning product according to the text?

No, it can lead to aspiration of the toxic substance (B) Signup and view all the answers

Flashcards

Pain in Abruptio Placenta

Abruptio Placenta is characterized by sudden, sharp pain in the abdomen, unlike Placenta Previa, which is typically painless.

IV Needle Size for Abruptio Placenta

A 20 gauge needle is recommended for starting an IV in clients with Abruptio Placenta to ensure quick fluid administration.

Monitoring Frequency for Abruptio Placenta

Vital signs, vaginal bleeding, and fetal heart rate should be monitored every 15 minutes in a patient with Abruptio Placenta due to the rapid and potentially life-threatening complications.

Fetal Distress in Abruptio Placenta

Fetal distress is a sign for immediate delivery in Abruptio Placenta, but not in Placenta Previa. This highlights the urgency and risk of fetal hypoxia in Abruptio Placenta.

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Timing of Abruptio Placenta

Abruptio Placenta most commonly occurs during the third trimester of pregnancy, especially during the later stages.

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Inducing Vomiting after Cleaning Product Ingestion

Inducing vomiting after ingestion of a cleaning product is NOT recommended, as it can increase the risk of aspiration and further harm the individual.

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Study Notes

Abruptio Placenta

Occurs when the placenta separates from the uterine wall
Risk factors: multigravida, hypertension, trauma, cocaine use
Typically occurs in multigravidas over 35 years old
Bleeding is less voluminous compared to Placenta Previa
Presents with pain, unlike Placenta Previa
For blood transfusion, use an 18-gauge needle

Management of Abruptio Placenta

Monitor vital signs, vaginal bleeding, and fetal heart rate every 5-15 minutes
Continuous fetal monitoring is necessary
Deliver the infant at the earliest sign of fetal distress
Typically delivered via C-section
Fetal death incidence is higher compared to Placenta Previa

Accidental Poisoning

Vomiting should not be induced after ingestion of a cleaning product

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Description

Test your knowledge on Abruptio Placenta with review questions from the 'Blue Book'. Learn about the causes, symptoms, and differences between Abruptio Placenta and Placenta Previa. This quiz does not include information on one-on-one tutoring or refunds.