When comparing abruptio placentae and placenta previa, which manifestation would be most typical of abruptio placentae?
a. abdominal pain c. maternal hypotension
b. painless vaginal spotting d. decreased hemoglobin
A
Abdominal pain is the classic manifestation of abruptio occurring as the placenta tears away from the endometrium. Painless vaginal spotting is the classic manifestation of placenta previa. Maternal hypotension doesn't occur with hemorrhage until approximately 40 percent of blood volume is lost. Decreased hemoglobin can occur because of physiologic anemia of pregnancy and would be a late sign of abruptio.
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