Page 128 - Critical Maternity & Newborn Health Nursing

• Blood film: Fetal RBCs can be detected by a special cytochemical

stain and it may be nucleated.

Educational video ruptured vasa previa:

https://youtu.be/Qgyp1VZpK1k?t=27

Treatment: Immediate caesarean section

Follow up activity:

Scenario IV:

A patient who is 32 weeks pregnant, according to her antenatal record,

presents with a history of severe vaginal bleeding and abdominal pain. The

blood contains dark clots. Since the hemorrhage, the patient has not felt her

fetus movement. The patient’s blood pressure is 80/60 mm Hg and the

pulse rate 120 beats per minute.

Questions 1 to 3 are based on the above scenario

1. List two signs and symptoms which confirm diagnosis of abruptio

placenta?

(2 marks, 1 mark for each)

1.

……………………………………………………………………………

……

2.What should be the first step in the management of this patient? (1

mark)

……………………………………………………………………………

……

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