MEDizzy - A client arrives at the hospital at 38 weeks’ gestation with

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Nursing Care of Women at Risk During Pregnancy & Post-partum

A client arrives at the hospital at 38 weeks’ gestation with profuse vaginal bleeding. She states that it occurred suddenly without any contractions. Which condition may the client be experiencing that requires immediate notification of the health care provider?

ExplanationA. Placenta previa is classically painless bleeding; the placenta partially or completely covers the cervical os, and as the cervix dilates, the placenta separates and bleeds. B. Placenta accreta is an abnormally adherent placenta; the placenta attaches through the endometrium to the myometrium. C. A ruptured uterus is a painful occurrence; the fetus may be expelled from the uterus into the abdomen. D. There is no visible bleeding if the abruptio is concealed; abruptio placentae is painful because the blood accumulates between the placenta and the uterine muscle.