A nurse is admitting a client who is at 36 weeks gestation and has painless, bright red vaginal bleeding. The nurse recognizes this finding as an indication of which of the following conditions?<\/p>\n\n\n\n
A.
Placenta previa.<\/p>\n\n\n\n
B.
Preterm labor.<\/p>\n\n\n\n
C.
Threatened abortion.<\/p>\n\n\n\n
D.
Abruptio placentae.<\/p>\n\n\n\n
The Correct answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n The correct answer is A. Placenta previa<\/strong>.<\/p>\n\n\n\n Placenta previa is a condition in which the placenta partially or completely covers the cervix. It is characterized by painless, bright red vaginal bleeding<\/strong> that typically occurs in the third trimester, often after 28 weeks of gestation. The primary cause of the bleeding is the disruption of placental attachment as the cervix starts to thin and open, which is part of the normal physiological process in late pregnancy. Since the placenta is positioned abnormally over the cervical os (opening), this can lead to bleeding.<\/p>\n\n\n\n In this scenario, the client at 36 weeks gestation is experiencing painless, bright red vaginal bleeding<\/strong>, which is a hallmark sign of placenta previa. The condition can be detected during a routine ultrasound or when a patient presents with bleeding. Importantly, the absence of pain differentiates placenta previa from other conditions such as abruptio placentae<\/strong> (option D), where vaginal bleeding is usually associated with significant abdominal pain due to premature placental separation from the uterine wall. In abruptio placentae, the bleeding may also be dark red, in contrast to the bright red bleeding seen in placenta previa.<\/p>\n\n\n\n Other options include preterm labor<\/strong> (option B), which involves uterine contractions and cervical changes before 37 weeks of pregnancy. While preterm labor may involve some vaginal bleeding, it is usually associated with symptoms like cramping, lower back pain, and contractions, which are not present in this case. Threatened abortion<\/strong> (option C) refers to vaginal bleeding in early pregnancy, usually before 20 weeks of gestation, and is not relevant in this late stage of pregnancy.<\/p>\n\n\n\n Placenta previa can pose significant risks, including maternal hemorrhage and complications during delivery. For this reason, management often includes hospitalization, bed rest, and preparation for a potential cesarean delivery if the placenta does not migrate away from the cervix.<\/p>\n","protected":false},"excerpt":{"rendered":" A nurse is admitting a client who is at 36 weeks gestation and has painless, bright red vaginal bleeding. The nurse recognizes this finding as an indication of which of the following conditions? A.Placenta previa. B.Preterm labor. C.Threatened abortion. D.Abruptio placentae. The Correct answer and Explanation is: The correct answer is A. Placenta previa. Placenta […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-142164","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/142164","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=142164"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/142164\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=142164"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=142164"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=142164"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}