Trauma Nurse Core Course (TNCC) Practice Exam

In a pregnant patient involved in a MVA with noted abdominal pain and bloody show, these findings suggest?

1. Placental abruption

2. Preterm labor

3. Uterine rupture

4. Fetal demise

The correct answer is: Placental abruption

In the context of a pregnant patient experiencing abdominal pain and a bloody show following a motor vehicle accident (MVA), the findings suggest placental abruption. This condition involves the premature separation of the placenta from the uterine wall, which can lead to significant maternal and fetal complications. Abdominal pain is a common symptom of placental abruption, as the detachment can cause bleeding and irritation of the uterine lining, resulting in discomfort or pain. The presence of a bloody show, which refers to the passage of blood-stained mucus from the vagina, can also indicate that there is bleeding occurring. In cases of placental abruption, this bleeding may be external or internal but often presents with vaginal bleeding that is often dark and accompanied by abdominal cramping. Understanding these symptoms is essential for emergency care providers, as placental abruption is an obstetric emergency that requires prompt evaluation and management to ensure the safety of both the mother and the fetus. Recognizing the signs early can facilitate timely interventions, such as monitoring, stabilization, and possibly operative delivery if required. While other options like preterm labor, uterine rupture, and fetal demise could present with abdominal pain and bleeding, they typically have distinct clinical features that can help differentiate them. Preterm