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    Ati rn comprehensive predictor 2023 proctored exam

    A nurse is caring for a client who has an abruptio placentae. Which of the following findings should the nurse expect?

    Explanation & Rationale

    A. First trimester bleeding: Bleeding during the first trimester is more characteristic of conditions such as miscarriage or ectopic pregnancy. Abruptio placentae typically occurs in the third trimester and is not associated with early pregnancy bleeding. B. Delayed menses: Delayed or missed menses is a sign of early pregnancy, not a complication of abruptio placentae, which occurs after the placenta has implanted and matured. C. Nausea: Nausea is common in early pregnancy or with hyperemesis gravidarum but is not a hallmark symptom of abruptio placentae. D. Severe abdominal pain: Sudden, severe, and continuous abdominal or lower back pain is a classic manifestation of abruptio placentae. It occurs due to premature separation of the placenta from the uterine wall, often accompanied by vaginal bleeding and uterine tenderness or rigidity.

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