In the second trimester, a pregnant client with suspected abruptio placentae would most likely have which finding?

In the second trimester, a pregnant client with suspected abruptio placentae would most likely have which finding?

• A. Soft abdomen
• B. Uterine tenderness
• C. Absence of abdominal pain
• D. Painless, bright red vaginal bleeding

Answer: (B)

Uterine tenderness signals placental abruption. When the placenta begins to separate from the uterine wall, the uterus becomes irritated and often rigid and tender, and the mother typically experiences abdominal pain with uterine contractions. This painful scenario contrasts with placental previa, which causes painless vaginal bleeding with a soft, non-tender uterus. In the second trimester, finding a tender or firm uterus aligns with abruptio placentae, making uterine tenderness the best answer.

Uterine tenderness signals placental abruption. When the placenta begins to separate from the uterine wall, the uterus becomes irritated and often rigid and tender, and the mother typically experiences abdominal pain with uterine contractions. This painful scenario contrasts with placental previa, which causes painless vaginal bleeding with a soft, non-tender uterus. In the second trimester, finding a tender or firm uterus aligns with abruptio placentae, making uterine tenderness the best answer.