A nursing professor is describing placental abruption to a class of nursing students. What information is included? (Select all that apply.)
A.
Cesarean delivery is almost always needed.
B.
Complications include couvelaire uterus and DIC.
C.
Fetal and maternal death may occur.
D.
Hysterectomy may be necessary to control bleeding.
E.
Pelvic and vaginal exams are not performed.
ANS: B, C, D, E
Placental abruption is a serious condition that can lead to both fetal and maternal death. Other complications include couvelaire uterus and DIC. Bleeding may be so severe that a hysterectomy is needed. To prevent further damage, vaginal and pelvic exams are not performed. Vaginal birth is desirable; cesarean birth is reserved for cases of fetal distress or other obstetric indications and should not be attempted if the woman has severe and uncorrected coagulopathy.
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