A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa. Which of the following findings support this diagnosis?
Explanation & Rationale
A. Placenta previa typically presents with painless bleeding, not pain. Abdominal pain with bleeding is more suggestive of placental abruption, not previa. B. Placenta previa is characterized by bright red, painless vaginal bleeding during the second or third trimester, often without uterine tenderness or contractions. The bleeding occurs because the placenta implants over or near the cervical os, which disrupts vascular integrity as the cervix begins to efface or dilate. C. This presentation is more consistent with abruptio placentae, where the placenta separates prematurely, leading to painful bleeding and a firm, tender uterus. D. This describes bloody show, which is a sign of labor onset, not placenta previa. It is associated with cervical effacement and dilation rather than abnormal placental implantation.