Which would indicate concealed hemorrhage in abruptio placentae?
a. Bradycardia
b. Hard boardlike abdomen
c. Decrease in fundal height
d. Decrease in abdominal pain
ANS: B
Concealed hemorrhage occurs when the edges of the placenta do not separate. The formation of a hematoma behind the placenta and subsequent infiltration of the blood into the uterine muscle results in a very firm, boardlike abdomen. The client will have shock symptoms that include tachycardia. The fundal height will increase as bleeding occurs. Abdominal pain may increase.
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