NCLEX CRUSADE ACADEMY TEST - 7 ANTEPARTUM BLEEDING

1. The 'bloody show' is characterized by: Heavy dark bleeding without contractions. Pink-tinged mucus during onset of labor. Bright red painless hemorrhage. Board-like abdomen.

2. Placenta previa classically presents with: Severe abdominal pain. Dark red bleeding with rigidity. Painless bright red bleeding. Cessation of contractions.

3. Uterine tone in placenta previa is typically: Rigid. Board-like. Soft and relaxed. Hypertonic.

4. Partial placenta previa involves: Complete cervical os coverage. No placental obstruction. Incomplete coverage of the os. >3 cm from os.

5. Abruptio placentae is best described as: Painless detachment. Painful premature separation of placenta. Low-lying placenta. Failure of uterine muscle.

6. Uterine tone in abruption is: Soft. Relaxed. Rigid and board-like. Flaccid.

7. Uterine rupture is identified by: Gradual pain increase. Pink discharge. Cessation of contractions. Soft uterus only.

8. The most dangerous action before ultrasound in bleeding patient is: IV fluids. Oxygen. Vaginal examination. Fetal monitoring.

9. Primary management strategy for placenta previa is to: Induce labor. Preserve and protect. Deliver immediately in all cases. Encourage ambulation.

10. Total placenta previa requires: Vaginal delivery. Expectant management only. C-Section. Oxytocin induction.

11. In abruptio placentae, first management priority is: Assess pain only. Stabilize hemodynamics. Perform vaginal exam. Delay monitoring.

12. Large-bore IV access in abruption is required for: Medication only. Blood transfusion capability. Glucose infusion. Fetal monitoring.

13. Universal intervention for antepartum bleeding positioning is: Supine. Trendelenburg. Left lateral. Prone.

14. Oxygen administration in antepartum hemorrhage is for: Maternal comfort. Fetal oxygen delivery. BP control. Contraction stimulation.

15. Final differentiation summary: Abruption equals: Painless + Bright. Painful + Dark + Rigid. Cessation + Bright. Soft + Dark.

16. Rupture is summarized as: Dark bleeding only. Painful bright red bleed. Cessation of contractions. Hypertonic uterus.

17. Bloody show is considered: Pathologic hemorrhage. Normal labor finding. Placental separation. Uterine rupture.

18. A rigid, board-like uterus with dark bleeding suggests: Previa. Rupture. Abruption. Normal labor.

19. Cessation of contractions with rapid fetal deterioration suggests: Previa. Abruption. Uterine rupture. Bloody show.

20. Golden rule in antepartum bleeding is: Always perform vaginal exam. Ultrasound before any vaginal exam. Induce labor immediately. Monitor pain only.