Inpatient Obstetric Nurse Practice Exam 2026 – Complete Prep Guide

A classic symptom of placental abruption is painful vaginal bleeding after 20 weeks of gestation. Placental abruption occurs when the placenta detaches from the uterine wall before delivery, leading to bleeding and abdominal pain in the pregnant individual. This condition can be serious and potentially life-threatening for both the mother and the fetus.

The pain associated with placental abruption can vary in intensity and is typically felt in the abdominal region. The bleeding can be either evident or concealed, making it crucial for healthcare providers to assess the situation promptly. Recognizing this combination of symptoms is vital for timely intervention and management to ensure the safety of both mother and baby.

In contrast, other symptoms related to different conditions or stages of pregnancy that don't align with placental abruption include painless vaginal bleeding before 20 weeks, which could indicate issues like a threatened abortion; heavy discharge without bleeding, which may not be specific to placental issues; or spotting without cramping, often associated with less serious conditions. The specificity of painful bleeding after 20 weeks directly aligns with the characteristics of placental abruption, making it a critical indicator for nursing assessment and intervention.