Which of the following signs indicate that the placenta has separated and is ready to be delivered Select all that apply applies?
|
Now that the pregnant woman is in the final trimester of her pregnancy, the risks that could harm the fetus inside also get more perilous. Months away from birth, a woman should not be complacent of her condition at all times. Her guard must always be up, and further education is necessary to enforce her awareness of how precious and fragile the life inside of her is. Show
Definition
Pathophysiology
Risk FactorsPlacenta previa is dangerous if not detected early. However, it is also highly preventable once you get to know the risk factors.
TypesThese types of placenta previa are classified according to the degree of the opening that is covered by the placenta. 
Signs and SymptomsThe following signs and symptoms for placenta previa must be detected immediately by the health care providers to avoid risking the life of the fetus.
Diagnostic TestsTo diagnose placenta previa, the patient must undergo the following diagnostic procedure.
Medical ManagementMedical interventions are necessary to ensure that the safety of both mother and fetus are still intact.
Surgical ManagementSurgical interventions are carried out once the condition of both the mother and the fetus has reached a critical stage and their lives are exposed to undeniable danger.
Nursing ManagementNurses also play a major role in the care of a woman with placenta previa. They are also entrusted with the outcome of the lives of both the mother and the child. Nursing Assessment
Nursing Diagnosis
Nursing Care PlansMain article: Placenta Previa Nursing Care Plans Nursing Interventions
Evaluation
One could move mountains just to save the lives of their mother and child. That is also true for health care providers. The conditions that affect the health of the mother and the baby can be conquered if both the support system and the health care providers are working as a team towards one measurable purpose: to save lives. Practice Quiz for Placenta PreviaJust how much you’ve learned from our study guide about placenta previa? Take our 10-item quiz below and find out! 1. Which of the following is the most common kind of placental adherence seen in pregnant women? A. Accreta 2. A 39-year-old at 37 weeks gestation is admitted to the hospital with complaints of vaginal bleeding following the use of cocaine 1 hour earlier. Which complication is most likely causing the client’s complaint of vaginal bleeding? A. Placenta previa 3. The nurse is caring for a client in labor. The external fetal monitor shows a pattern of variable decelerations in fetal heart rate. What should the nurse do first? A. Change the client’s position. 4. A pregnant client is diagnosed with partial placenta previa. In explaining the diagnosis, the nurse tells the client that the usual treatment for partial placenta previa is which of the following? A. Activity limited to bed rest 5. A nurse assists in the vaginal delivery of a newborn infant. After the delivery, the nurse observes the umbilical cord lengthen and a spurt of blood from the vagina. The nurse documents these observations as signs of: A. Hematoma 6. A nurse in the postpartum unit is caring for a client who has just delivered a newborn infant following a pregnancy with placenta previa. The nurse reviews the plan of care and prepares to monitor the client for which of the following risks associated with placenta previa? A.
Disseminated intravascular coagulation 7. A maternity nurse is preparing for the admission of a client in the 3rd trimester of pregnancy that is experiencing vaginal bleeding and has a suspected diagnosis of placenta previa. The nurse reviews the physician’s orders and would question which order? A. Prepare the client for an ultrasound 8. Maureen in her third trimester arrives at the emergency room with painless vaginal bleeding. Which of the following conditions is suspected? a. Placenta previa 9. Tyra experienced painless vaginal bleeding has just been diagnosed as having a placenta previa. Which of the following procedures is usually performed to diagnose placenta previa? a. Amniocentesis 10. The common normal site of nidation/implantation in the uterus is: A. Upper uterine portion Rationale 1. Answer: A. Accreta Placenta accreta is the most common kind of placental adherence seen in pregnant women and is characterized by slight penetration of myometrium. In placenta previa, the placenta does not embed correctly and results in what is known as a low-lying placenta. It can be marginal, partial, or complete in how it covers the cervical os, and it increases the patient’s risk for painless vaginal bleeding during the pregnancy and/or delivery process. Placenta percreta leads to perforation of the uterus and is the most serious and invasive of all types of accrete. Placenta increta leads to deep penetration of the myometrium. 2. Answer: B. Abruptio placentae The major maternal adverse reactions from cocaine use in pregnancy include spontaneous abortion first, not third, trimester abortion and abruptio placentae. 3. Answer: A. Change the client’s position. Variable decelerations in fetal heart rate are an ominous sign, indicating compression of the umbilical cord. Changing the client’s position from supine to side-lying may immediately correct the problem. An emergency cesarean section is necessary only if other measures, such as changing position and amnioinfusion with sterile saline, prove unsuccessful. Administering oxygen may be helpful, but the priority is to change the woman’s position and relieve cord compression. 4. Answer: A. Activity limited to bed rest Treatment of partial placenta previa includes bed rest, hydration, and careful monitoring of the client’s bleeding. 5. Answer: D. Placental separation. As the placenta separates, it settles downward into the lower uterine segment. The umbilical cord lengthens, and a sudden trickle or spurt of blood appears. 6. Answer: D. Hemorrhage. Because the placenta is implanted in the lower uterine segment, which does not contain the same intertwining musculature as the fundus of the uterus, this site is more prone to bleeding. 7. Answer: C. Obtain equipment for a manual pelvic examination. Manual pelvic examinations are contraindicated when vaginal bleeding is apparent in the 3rd trimester until a diagnosis is made and placental previa is ruled out. Digital examination of the cervix can lead to maternal and fetal hemorrhage. A diagnosis of placenta previa is made by ultrasound. The H/H levels are monitored, and external electronic fetal heart rate monitoring is initiated. External fetal monitoring is crucial in evaluating the fetus that is at risk for severe hypoxia. 8. Answer: A. Placenta previa Placenta previa with painless vaginal bleeding. 9. Answer: D. Ultrasound Rationale: Once the mother and the fetus are stabilized, ultrasound evaluation of the placenta should be done to determine the cause of the bleeding. Amniocentesis is contraindicated in placenta previa. A digital or speculum examination shouldn’t be done as this may lead to severe bleeding or hemorrhage. External fetal monitoring won’t detect a placenta previa, although it will detect fetal distress, which may result from blood loss or placenta separation. 10. Answer: A. Upper uterine portion The embryo’s normal nidation site is the upper portion of the uterus. If the implantation is in the lower segment, this is an abnormal condition called placenta previa. What are the signs of separation of placenta?In some cases, placental abruption develops slowly (chronic abruption), which can cause light, intermittent vaginal bleeding.. Vaginal bleeding, although there might not be any.. Abdominal pain.. Back pain.. Uterine tenderness or rigidity.. Uterine contractions, often coming one right after another.. Which of the following signs indicate that the placenta has separated and is ready to be delivered quizlet?The labor process has now entered the third stage, ie, delivery of the placenta. Three classic signs indicate that the placenta has separated from the uterus: (1) The uterus contracts and rises, (2) the cord suddenly lengthens, and (3) a gush of blood occurs.
Which of the following signs indicate that the placenta has separated and is ready to be delivered Select all that apply?Signs that the placenta is beginning to separate include: A sudden gush of blood. Lengthening of the visible portion of the umbilical cord. The uterus, which is usually soft and flat immediately after delivery, becomes round and firm.
What are the signs of placental separation in the 3rd stage of labor?Third Stage of Labor
Separation of the placenta from the uterine interface is hallmarked by three cardinal signs, including a gush of blood at the vagina, lengthening of the umbilical cord, and a globular shaped uterine fundus on palpation.
|
