A pregnant client is diagnosed with central abruptio placentae. What can the nurse infer about the client's condition?
1. The slight separation of the client's placenta from the uterine wall will not produce any bleeding.
2. The total separation of the client's placenta from the uterine wall will lead to massive hemorrhage.
3. Blood is trapped between the client's placenta and the uterine wall, and there may be concealed bleeding.
4. Blood is passing between the fetal membranes and the client's uterine wall, which will lead to some vaginal bleeding.
3
Explanation:
1. This describes a marginal placenta separation, grade 1.
2. With complete separation, there is total separation of the placenta from the uterine wall, and massive bleeding ensues.
3. With the central type of placental separation, blood is trapped between the placenta and uterine wall with concealed bleeding.
4. This describes a marginal placenta separation, grade 1.
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