NREMT Paramedic Practice

What kind of bleeding is commonly associated with Abruptio Placentae?

1. Painless bleeding

2. Non-existent bleeding

3. 3rd trimester bleeding with pain

4. Postpartum bleeding

The correct answer is: 3rd trimester bleeding with pain

Abruptio Placentae, or placental abruption, refers to a condition in which the placenta detaches from the uterus prematurely, typically in the third trimester. This condition can lead to significant maternal and fetal complications. The correct distinction here is that this type of bleeding is indeed commonly associated with pain; expectant mothers may experience severe abdominal or back pain along with vaginal bleeding. The presence of pain is a critical factor in diagnosing abruptio placentae, as it typically indicates that the blood vessels in the placenta-supplying area have ruptured or are compromised, causing the bleeding. In contrast, options suggesting painless bleeding do not align with the typical clinical findings of this condition. Bleeding that is non-existent or resolves quickly would also not reflect the usual presentation, where significant bleeding and discomfort are expected. Postpartum bleeding pertains to complications after delivery rather than during the pregnancy, making it irrelevant in this context. Thus, the option highlighting third-trimester bleeding accompanied by pain effectively captures the key characteristics of Abruptio Placentae.