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Remember placenta previa by the apocalyptic scene starting when a placenta-present full of provolone smashed into the town, dripping cheese and destroying order. This obstetric complication occurs when the placenta covers the cervical os, shown by the placenta-present covering the cervix-certificate. Assessment findings include painless vaginal bleeding, shown by the no pain-bolts sign, and it is usually bright red vaginal bleeding, shown by the bright red blood from the vagina-flower. Interventions depend on the status of the fetus. If there is a stable fetus, represented by the stable-ground fetus, prolonging the pregnancy to allow for the fetus to mature is optimal.&nbsp;Bed rest, shown by the bed, and&nbsp;observation, shown by the observatory, is often initiated. This includes no vaginal or rectal exams and preferably bedrest in a side lying position, as this reduces the pressure of the uterus on the inferior vena cava and improves blood flow. If the situation presents with an unstable fetus, shown by the unstable-ground dying-fetus, or heavy bleeding occurs, an immediate c-section delivery, shown by the c-section, is often necessary. A vaginal delivery could disturb the placenta and cause severe bleeding. Excessive bleeding places the mother at risk for shock, shown by the up-arrow risk shocking. Lastly, tocolytic drugs such as magnesium sulfate, shown by the magnesium-magazine with sulfur-match, may be given to slow down or stop labor in patients who simply require watchful waiting. So in summary, placenta previa occurs when the placenta covers the cervical os and results in painless, bright red vaginal bleeding. Interventions for the stable fetus include bed rest and observation. The unstable fetus will likely need a c-section delivery. Be aware of the increased risk for shock and consider magnesium sulfate to inhibit labor.&nbsp;

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story

placenta present provolone.png

Placenta-present Provolone

Placenta Previa

3rd Trimester Bleeding

Placenta previa

Abnormalities of the Amnion, Placenta, and Umbilical Cord Part 2

Mechanism

placenta present covering cervix certificate.png

Placenta-present covering Cervix-certificate

Placenta Covers Cervical Os

Which of the following is most likely associated with Placenta Previa?

Assessment

no pain bolts sign.png

No Pain-bolts sign

Painless

During your assessment of a patient with Placenta Previa, which of the following is a sign or symptom that is most likely to be seen?

bright red blood from vagina flower.png

Bright Red Blood from Vagina-flower

Bright Red Vaginal Bleeding

Interventions

stable ground fetus.png

Stable-ground Fetus

Stable Fetus

Observation is an intervention for which of the following?

bed.png

Bed Rest

For a placenta previa pregnancy with a stable fetus, which position, movement or direction advised for the mother?

observatory.png

Observatory

Observation

Which of the following is an intervention for a stable fetus in a placenta previa pregnancy?

unstable ground dying fetus.png

Unstable-ground Dying-fetus

Unstable Fetus

C-Section delivery is an intervention for which of the following?

C section.png

C-section

C-section Delivery

Which of the following is most likely indicated in a placenta previa pregnancy with an unstable fetus?

Considerations

up arrow risk shocking.png

Up-arrow Risk Shocking

Risk for Shock

Which of the following is a consideration most likely associated with placenta previa?

magnesium magazine with sulfur match.png

shadows.png

Magnesium-magazine with Sulfur-match

Magnesium Sulfate

Which of the following medications most likely may be used as an intervention for placenta previa?

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A once utopian community has turned into an apocalyptic scene. It all started when a placenta-present provolone streaked across the sky and headed straight for the town. NASA claimed it was a far off comet, but it was headed straight for the&nbsp;cervix-certificate,&nbsp;which was the scripture by which all this town's inhabitants followed, until it was covered in melted provolone. There was no tolerance for pain, and no pain-bolts signs were posted all over this once perfect city. The vagina-flower was hit with debris from the impact, pouring bright red blood, but still exclaimed "I'm doing OK, it doesn't hurt at all." The sound of the sky falling and ground splitting awoke this stable-ground fetus, who&nbsp;hadn't been affected by the tumultuous situation yet. He jumped out of his bed to see what the distant commotion was through his observatory. He saw destruction. It was the end of the world, headlined by an unstable-ground dying-fetus about to fall into the core of the earth, until it was saved by the C-section. "You're gonna make it kid! Hold on! No abortions on my watch." Upon seeing the destruction and consequences of the up-arrow risk shocking him, the magnesium-magazine made a choice. His cries of "You'll never take me alive," echoed through the valley as he lit himself ablaze with a sulfur-match.

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