NUR 242 Final Exam Focused Review
With 100% Correct Answers
Premature separation of the placenta after the 20th week of gestation, prior to birth, which
leads to hemorrhage. - correct answers ✔✔Placental Abruption/ Abruptio Placentae
Maternal age >35
Poor nutrition
Multiple gestation
Excessive intrauterine pressure
Polyhydramnios
Chronic hypertension
Cigarette smoking
Cocaine/Meth use
Alcohol
Severe trauma
Placental abruption in previous pregnancy
Multiparity
Placental Abnormalities
Thrombophilia - correct answers ✔✔Placental Abruption Risk Factors
Grade 1:
Minimal bleeding (<500 mL)
Marginal separation (10-20%)
Tender uterus
,No coagulopathy
No signs of shock
No fetal distress - correct answers ✔✔Placental abruption "mild" classification
Grade 2:
Moderate bleeding (1000-1500 mL)
Moderate separation (20-50%)
Continuous abdominal pain
Mild shock
Maternal BP-normal
Tachycardia - correct answers ✔✔Placental abruption "moderate" classification
Grade 3:
Absent to moderate bleeding (>1500 mL)
Severe separation (>50%)
Profound shock
Dark vaginal bleeding
Agonizing abdominal pain
Maternal BP- decreased
Significant maternal tachycardia
Development of DIC - correct answers ✔✔Placental abruption "severe" classification
CBC
Fibrinogen Levels
PT/aPTT
Type and cross match
, Nonstress test
BPP - correct answers ✔✔Labs done for placental abruption
Strict bed rest in left lateral
Administer O2 via nasal cannula
Monitor O2 levels via pulse ox
Obtain vitals frequently (at least q15m)
Foley catheter
Initiate IV
Assess fundal height
Monitor vaginal bleeding q15-30m
S/S of DIC (bleeding gums, tachycardia, oozing from IV site, petechiae)
Administer blood products
Continuous fetal monitoring
Assess contractions
Observe tracing
*Board like abdomen*
Provide Education and support - correct answers ✔✔Placental Abruption Nursing Management
Vaginal bleeding early in pregnancy
No cervical dilation or change in cervical consistency
Mild abdominal cramping
Closed cervical os
No passage of fetal tissue - correct answers ✔✔Threatened abortion assessment findings
Vag US
With 100% Correct Answers
Premature separation of the placenta after the 20th week of gestation, prior to birth, which
leads to hemorrhage. - correct answers ✔✔Placental Abruption/ Abruptio Placentae
Maternal age >35
Poor nutrition
Multiple gestation
Excessive intrauterine pressure
Polyhydramnios
Chronic hypertension
Cigarette smoking
Cocaine/Meth use
Alcohol
Severe trauma
Placental abruption in previous pregnancy
Multiparity
Placental Abnormalities
Thrombophilia - correct answers ✔✔Placental Abruption Risk Factors
Grade 1:
Minimal bleeding (<500 mL)
Marginal separation (10-20%)
Tender uterus
,No coagulopathy
No signs of shock
No fetal distress - correct answers ✔✔Placental abruption "mild" classification
Grade 2:
Moderate bleeding (1000-1500 mL)
Moderate separation (20-50%)
Continuous abdominal pain
Mild shock
Maternal BP-normal
Tachycardia - correct answers ✔✔Placental abruption "moderate" classification
Grade 3:
Absent to moderate bleeding (>1500 mL)
Severe separation (>50%)
Profound shock
Dark vaginal bleeding
Agonizing abdominal pain
Maternal BP- decreased
Significant maternal tachycardia
Development of DIC - correct answers ✔✔Placental abruption "severe" classification
CBC
Fibrinogen Levels
PT/aPTT
Type and cross match
, Nonstress test
BPP - correct answers ✔✔Labs done for placental abruption
Strict bed rest in left lateral
Administer O2 via nasal cannula
Monitor O2 levels via pulse ox
Obtain vitals frequently (at least q15m)
Foley catheter
Initiate IV
Assess fundal height
Monitor vaginal bleeding q15-30m
S/S of DIC (bleeding gums, tachycardia, oozing from IV site, petechiae)
Administer blood products
Continuous fetal monitoring
Assess contractions
Observe tracing
*Board like abdomen*
Provide Education and support - correct answers ✔✔Placental Abruption Nursing Management
Vaginal bleeding early in pregnancy
No cervical dilation or change in cervical consistency
Mild abdominal cramping
Closed cervical os
No passage of fetal tissue - correct answers ✔✔Threatened abortion assessment findings
Vag US
