Question

A client at 34-weeks of gestation presents to Labor and Delivery complaining of a sudden onset of intense abdominal pain and vaginal bleeding. An ultrasound reveals a partial abruptio placentae.  1) List three (3) risk factors for this condition and 2) list three (3) priority nursing interventions.

Answer 1

Abruptio Placentae is premature separation of the placenta from mothers uterine wall. There are several risk factors as well as priority nursing interventions that are given below:-

Risk factors:

1. Chronic gestational hypertension

2. Smoking or use of cocaine

3. Short umbilical cord or other uterine abnormalities

4. Dietary deficiency

Nursing Interventions:

1. Place the women on the lateral side.

2. Do not perform any vaginal examination to avoid any further injury.

3. Check fetal heart sounds.

Answer 2

Placenta abruptio placentae is the premature separation of the placenta from the uterine walls, therefore, limiting the blood and oxygen supply to the fetus. A mother who has a history of abruptio placentae in her previous pregnancy and a severe trauma or blow to the abdomen are at high risk of having partial abruptio placenta. We could not prevent this, however, here are nursing interventions to avoid it:
1. If the mother has a history of abruptio placentae during her previous pregnancy, she must inform her ob-gyn.
2. Avoid any strenuous activities, if possible. When riding a car, always wear your seatbelt.
3. Avoid taking in drugs, cocaine, cigarettes during pregnancy.