A nurse in a provider's office is caring for a client who is at 30 weeks of gestation Exhibits The nurse is reviewing the client's assessment data. For each assessment finding below, click to specify if the finding is consistent with placenta previa, preterm labor, or abruptio placenta Each finding may be consistent with more than one condition or none at all

Assessment findings Placenta previa Preterm labor Abruption placenta Cervical dilation ✓ ✓ Uterine contractions ✓ ✓ Vaginal bleeding ✓ ✓ Client reports low back pain ✓ ✓ Abdominal tenderness ✓ Rationale Cervical dilation: Present in preterm labor and abruption due to uterine activity and cervical changes; not typical in placenta previa unless labor begins. Uterine contractions: Present in preterm labor and abruption; placenta previa usually painless without contractions. Vaginal bleeding: In placenta previa, bleeding is usually painless; in abruption, bleeding is often accompanied by pain; preterm labor usually does not involve bleeding. Low back pain: Common in preterm labor and abruption due to contractions or placental separation; not typical in placenta previa. Abdominal tenderness: Present in abruption because of bleeding behind the placenta causing uterine irritation; absent in placenta previa and preterm labor.