Florida State Paramedic Practice Exam

What is a significant concern if a mother has painless vaginal bleeding?

1. Infection

2. Hemorrhage

3. Placenta previa

4. Uterine rupture

The correct answer is: Placenta previa

A significant concern when a mother experiences painless vaginal bleeding is placenta previa. This condition occurs when the placenta implants abnormally low in the uterus, covering part or all of the cervix. Painless bleeding is a hallmark symptom of placenta previa, typically occurring in the second or third trimester. This bleeding can be significant and poses risks to both the mother and the fetus if not monitored and managed appropriately. In contrast to infections, hemorrhage, or uterine rupture, which may present with other symptoms, the absence of pain with vaginal bleeding strongly points toward placenta previa. Recognizing this condition is crucial because it can lead to complications such as preterm labor, excessive bleeding during delivery, and necessitate cesarean delivery in many cases to ensure the safety of both the mother and child. Proper assessment and management strategies are essential when dealing with this scenario in prenatal care.