NURS 1230 Exam 1 With C orrect Answers What does the T in TPAL stand for? - ANSWER Term -baby born between 38-42 weeks What does the P in TPAL stand for? - ANSWER Preterm -baby born between 20-37 weeks What does the A in TPAL stand for? - ANSWER Abortion -any pregnancy that ends before 20 weeks (spontaneous or elective) What does the L in TPAL stand for? - ANSWER Living -number of living children What is Placenta Abruption? - ANSWER premature separation of a normally implanted placenta What are the risk factors for placenta abruption? - ANSWER -prior history -HTN -cocaine use -smokers -poor nutrition -abdominal trauma -hematoma often seen on ultrasound What are the symptoms of placenta abruption? - ANSWER -vaginal bleeding -abdominal pain -back pain -uterine tenderness -rapid uterine contractions (no resting tone) what is the treatment for placenta abruption? - ANSWER -monitor for hemorrhagic shock and DIC -emergency c-section w/ blood products if needed what is placenta previa? - ANSWER the placenta attaches to the lower uterine segment of the uterus, near or over the opening of the internal cervical OS what are the risk factors for placenta previa? - ANSWER -AMA
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