A woman at 39 weeks of gestation with a history of preeclampsia is admitted to the labor and birth unit.She suddenly experiences increased contraction frequency of every 1 to 2 minutes,dark red vaginal bleeding,and a tense,painful abdomen.Which clinical change does the nurse anticipate?
A) Eclamptic seizure
B) Rupture of the uterus
C) Placenta previa
D) Placental abruption

Question

Quizplus · Accepted Answer

The symptoms described suggest placental abruption, which is a potentially life-threatening complication of pregnancy associated with preeclampsia. Eclamptic seizures would typically be preceded by signs of severe preeclampsia, such as high blood pressure and proteinuria. Rupture of the uterus and placenta previa may also cause vaginal bleeding, but the sudden increase in contraction frequency and a tense, painful abdomen are not typical with either of these conditions.

A Woman at 39 Weeks of Gestation with a History