Ati rn maternal newborn 2023 proctored exam
A nurse is assessing a client who has a grade 2 placental abruption. Which of the following findings should the nurse expect?
Explanation & Rationale
A. A grade 2 placental abruption typically presents with a firm or rigid abdomen due to concealed bleeding, not a soft one. B. Maternal tachycardia (heart rate 120/min) is expected due to blood loss and compensatory response to hypovolemia. C. A fetal heart rate of 150/min with moderate variability is a reassuring sign and would not typically be expected in a significant abruption, where fetal distress is more common. D. Vaginal bleeding from placental abruption is typically painful, and may be concealed. Painless bleeding is more characteristic of placenta previa.
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