NREMT Paramedic Practice

What is a common presentation of Abruptio Placentae?

1. Painless vaginal bleeding in the 3rd trimester

2. 3rd trimester bleed with pain, tender abdomen, and rigid uterus

3. Bright red bleeding without pain

4. Severe itching and rash

The correct answer is: 3rd trimester bleed with pain, tender abdomen, and rigid uterus

A common presentation of Abruptio Placentae includes abdominal pain, a tender abdomen, and a rigid uterus alongside bleeding during the third trimester. This condition involves the premature separation of the placenta from the uterine wall, and the resulting pain is typically due to bleeding and muscle contractions as the body responds to this separation. The tenderness and rigidity of the abdomen are indicative of internal bleeding and increased uterine tension, which can pose significant risks to both the mother and the fetus. The presence of pain and a rigid uterus is often seen in cases of Abruptio Placentae, as opposed to painless bleeding which suggests conditions like placenta previa. The blood may also appear dark, rather than bright red, which contributes to the distinctive clinical picture of this emergency. Understanding these presentations is crucial for timely identification and intervention, ensuring better outcomes for both the mother and her baby.