What condition indicates concealed hemorrhage when the patient experiences an abruptio placentae?
a. Decrease in abdominal pain c. Hard, boardlike abdomen
b. Bradycardia d. Decrease in fundal height
ANS: C
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. Abdominal pain may increase. The patient will have shock symptoms that include tachycardia. As bleeding occurs, the fundal height will increase.
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