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 considering the findings that would demonstrate that the client’s condition has improved.
Choose the most likely options for the information missing from the sentence by selecting from the lists provided.
The nurse knows that [Maternal BP 88/56 mmHg with increased heart rate / Fetal heart rate to 130 bpm with variability / Fetal heart rate 90 bpm with absent variability / Maternal heart rate 122 bpm with labored respirations] and [Minimal fetal movement / Vaginal bleeding with dark red clots / Increase in uterine rigidity and fundal height / Decrease in uterine tone and tenderness] would indicate that the client’s condition is stabilizing.
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