0900: A 32-year-old G3P1 client at 34 weeks’ gestation presents with sudden-onset abdominal pain and dark red vaginal bleeding. She reports reduced fetal movement since this morning. The uterus is firm and tender to palpation. Fetal heart rate is 100 bpm with minimal variability. Her history includes mild preeclampsia and occasional tobacco use. BP is 144/92 mmHg, HR 104 bpm, T 98.7°F (37.0°C), and SpO₂ is 98% on room air.
0900: A 32-year-old G3P1 client at 34 weeks’ gestation presents with sudden-onset abdominal pain and dark red vaginal bleeding. She reports reduced fetal movement since this morning. The uterus is firm and tender to palpation. Fetal heart rate is 100 bpm with minimal variability. Her history includes mild preeclampsia and occasional tobacco use. BP is 144/92 mmHg, HR 104 bpm, T 98.7°F (37.0°C), and SpO₂ is 98% on room air.
1000: A stat transabdominal ultrasound was performed. Findings include a retroplacental hematoma consistent with partial placental abruption. Fetal heart rate remains at 100 bpm with minimal variability. No evidence of placenta previa. Provider notified of results.
0900: A 32-year-old G3P1 client at 34 weeks’ gestation presents with sudden-onset abdominal pain and dark red vaginal bleeding. She reports reduced fetal movement since this morning. The uterus is firm and tender to palpation. Fetal heart rate is 100 bpm with minimal variability. Her history includes mild preeclampsia and occasional tobacco use. BP is 144/92 mmHg, HR 104 bpm, T 98.7°F (37.0°C), and SpO₂ is 98% on room air.
1000: A stat transabdominal ultrasound was performed. Findings include a retroplacental hematoma consistent with partial placental abruption. Fetal heart rate remains at 100 bpm with minimal variability. No evidence of placenta previa. Provider notified of results.
1100: Client continues to report abdominal pain and decreased fetal movement. Moderate dark red vaginal bleeding is present. Uterus is firm and tender on palpation.
The nurse is determining the risks associated with the client’s confirmed condition to formulate the plan of care.
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The nurse understands that if this condition is not managed appropriately, the client is at risk for developing [Fetal hypoxia / Maternal hemorrhage / Preterm rupture of membranes / Disseminated intravascular coagulation (DIC) / Postpartum infection / Amniotic fluid embolism] [Fetal hypoxia / Maternal hemorrhage / Preterm rupture of membranes / Disseminated intravascular coagulation (DIC) / Postpartum infection / Amniotic fluid embolism] and [Fetal hypoxia / Maternal hemorrhage / Preterm rupture of membranes / Disseminated intravascular coagulation (DIC) / Postpartum infection / Amniotic fluid embolism]
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