NCLEX-RN Review Questions: Abruptio Placenta

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6 Questions

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

Usually presents with pain

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

20 gauge

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

Every 15 minutes

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

Only in Abruptio Placenta

When does Abruptio Placenta most commonly occur in pregnancy?

Third trimester

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

No, it can lead to aspiration of the toxic substance

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

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.

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