CNM Certified Nurse Midwife

Category - Antepartum

The client’s placenta abruptly separates from the uterine lining. The client is most likely to complain of:
  1. Sharp, stabbing pain in the uterine fundus.
  2. Painless, bright red vaginal bleeding.
  3. A pink-stained vaginal discharge.
  4. A gush of clear vaginal fluid.
Explanation
Answer: A - When the placenta abruptly separates from the uterine, the client complains of sharp, stabbing pain in the uterine fundus. This condition is called abruptio placenta, and it usually occurs during the third trimester. Painless, bright-red vaginal bleeding is a sign of placenta previa, which is the low implantation of the placenta. A pink-stained vaginal discharge is usually manifested in premature cervical dilatation. A gush of clear vaginal fluid is manifested in premature rupture of membranes.
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