What finding should the nurse expect in a client with suspected abruptio placentae?

• A. Bright red vaginal bleeding
• B. Severe abdominal pain
• C. Increased fetal movement
• D. Back pain

Answer: (B)

In cases of suspected abruptio placentae, severe abdominal pain is a hallmark finding. Abruptio placentae refers to the premature separation of the placenta from the uterine wall, which can lead to significant maternal and fetal complications. The severe abdominal pain is often characterized as sudden and intense, and may be accompanied by other symptoms such as vaginal bleeding and contractions.

While bright red vaginal bleeding can sometimes occur, it is not always present, and, in fact, patients may experience concealed hemorrhage with minimal external bleeding. Increased fetal movement is not expected; it may actually decrease due to fetal distress resulting from the compromised blood flow or irregularities in maternal-fetal circulation. Back pain may occur as well, but it is less specific to abruptio placentae compared to the severe abdominal pain experienced during this condition. Thus, the presence of severe abdominal pain is a key indicator for nurses to monitor in clients suspected of having abruptio placentae.