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.The nurse suspects the onset of:

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Uterine tenderness in the presence of increasing tone may be the earliest finding of premature separation of the placenta (abruptio placentae or placental abruption).Women with hypertension are at increased risk for an abruption.Eclamptic seizures are evidenced by the presence of generalized tonic-clonic convulsions.Uterine rupture manifests as hypotonic uterine activity,signs of hypovolemia,and in many cases the absence of pain.Placenta previa manifests with bright red,painless vaginal bleeding.

A Woman at 39 Weeks of Gestation with a History