It is important for the perinatal nurse to be knowledgeable regarding conditions of abnormal adherence of the placenta.This occurs when the zygote implants in an area of defective endometrium and results in little to no zone separation between the placenta and decidua.Which classification of separation is not recognized as an abnormal adherence pattern?

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Quizplus · Accepted Answer

Placenta abruptio is premature separation of the placenta as opposed to partial or complete adherence.This occurs between the twentieth week of gestation and delivery in the area of the decidua basalis.Symptoms include localized pain and bleeding.Placenta accreta is a recognized degree of attachment.With placenta accreta there is slight penetration of the trophoblast into the myometrium.Placenta increta is a recognized degree of attachment that results in deep penetration of the myometrium.Placenta percreta is the most severe degree of placental penetration that results in deep penetration of the myometrium.Bleeding with complete placental attachment occurs only when separation of the placenta is attempted after delivery.Treatment includes blood component therapy and in extreme cases,hysterectomy may be necessary.

It Is Important for the Perinatal Nurse to Be Knowledgeable