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    Obstetricspediatrics proctored exam

    A nurse is caring for a client with placenta previa in the labor and delivery unit. Which of the following is not a true statement of placental previa

    Explanation & Rationale

    A. Cervical exams should not be performed: Performing a cervical exam in placenta previa can trigger severe hemorrhage because the placenta may partially or completely cover the cervical os. Avoiding exams unless the location is confirmed by ultrasound is standard practice. B. Symptoms include painful bleeding that is bright red in color: Placenta previa typically causes painless, bright red vaginal bleeding during the second or third trimester. Painful bleeding is more characteristic of placental abruption, making this statement inaccurate. C. The mother is at risk for placental abruption: While placenta previa itself does not cause abruption, patients may still have overlapping risk factors, and any abnormal placental implantation can complicate labor, making monitoring important. D. Placenta previa is a result of improper placement of the placenta in the uterus: Placenta previa occurs when the placenta implants low in the uterus, partially or completely covering the cervical os, which is considered improper placement relative to normal implantation in the upper uterine segment.

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