Practice Quiz

CRNE Exam Prep

Category - Changes in Health

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A 23-year-old female at 35 weeks’ gestation comes to the emergency department complaining of severe abdominal pain. Moderate dark vaginal bleeding is noted. Physical assessment findings include increased uterine tone with orthostatic changes in the blood pressure. External fetal monitor reveals fetal distress. Based on these initial findings, the client is most likely diagnosed with which of the following conditions?
  1. Abruptio placenta
  2. Placenta previa
  3. Hydatidiform mole
  4. Ectopic pregnancy
Explanation
Answer: A - The client is most likely diagnosed with abruptio placenta. Placenta previa is characterized by painless, bright red vaginal bleeding. Ectopic pregnancy is a condition in which a fertilized egg implants outside the uterus, usually in the fallopian tube. This condition is usually detected in the first five to ten weeks of pregnancy. Hydatidiform mole is usually detected before the 18th week of pregnancy.
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