A nurse is caring for a client who has placenta previa. Which of the following findings should the nurse expect?

Rationale: A. Placenta previa does not typically affect fetal growth or uterine size early on. Fundal height is usually appropriate for gestational age unless other complications (such as fetal growth restriction) are present. B. Placenta previa is characterized by painless, bright red vaginal bleeding in the second or third trimester. The bleeding may start as spotting or may be more profuse. It occurs because the placenta is implanted over or near the cervical os, and as the cervix begins to efface or dilate, small vessels tear and bleed without pain. C. A hypertonic or rigid uterus is more characteristic of placental abruption, not placenta previa. In placenta previa, the uterus is typically soft and non-tender because there is no premature separation of the placenta. D. Severe abdominal pain is also associated with placental abruption, where the placenta detaches prematurely from the uterine wall. Placenta previa is classically painless bleeding, which helps differentiate it from abruption.