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 potential cause of the client’s condition based on the assessment findings.
➢ Click to indicate which clinical features are typically associated with placental abruption, placental previa, and preterm labor.
Each row may have more than one response selected.
- A. Vaginal bleeding
- B. Uterine tenderness or rigidity
- C. Painless bleeding
- D. Sudden onset of abdominal pain
- E. Fetal heart rate abnormalities
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