NREMT Paramedic Practice

In the context of Abruptio Placentae, which condition is indicated by 'absent fetal tones'?

1. Placental detachment

2. Fetal distress

3. Normal fetal activity

4. Placenta previa

The correct answer is: Placental detachment

In the case of Abruptio Placentae, the presence of 'absent fetal tones' is primarily indicative of placental detachment. Abruptio Placentae occurs when the placenta separates from the wall of the uterus prematurely, which can compromise the blood supply and oxygen delivery to the fetus. As the placenta detaches, it can lead to fetal distress due to the ensuing hypoxia and inadequate nutrient supply. When the fetal heart tones are absent, it suggests that the fetus may not be viable, indicating severe complications. In situations where there is placental separation, monitoring is crucial because the degree of detachment can significantly affect fetal well-being. Depending on the severity of the abruption, it may lead to extreme fetal distress or the loss of fetal heart activity altogether. Thus, the absence of fetal tones is a critical sign pointing towards placental detachment as a significant and acute complication stemming from Abruptio Placentae.