Florida State Paramedic Practice Exam

Disable ads (and more) with a membership for a one time $2.99 payment

Prepare for the Florida State Paramedic Exam with interactive quizzes and detailed explanations. Test your medical knowledge and boost your confidence. Ace your exam with proven study materials!

Each practice test/flash card set has 50 randomly selected questions from a bank of over 500. You'll get a new set of questions each time!

Practice this question and more.

What is indicated by tearing pain, a tender rigid uterus, and bright red bleeding in a 26-year-old multi-gravida with prior cesarean sections?

Ectopic pregnancy
Placenta previa
Abruption placenta
Normal delivery

The correct answer is: Abruption placenta

The presentation of tearing pain, a tender rigid uterus, and bright red bleeding in a patient with a history of multiple pregnancies, including previous cesarean sections, is highly indicative of placental abruption. This condition occurs when the placenta separates prematurely from the uterine wall, which can lead to significant maternal and fetal morbidity. The tearing pain aligns with the abrupt onset of pain commonly reported with abruption, and the rigid uterus suggests the presence of underlying hemorrhage that can cause uterine hypertonicity. Additionally, bright red bleeding is characteristic of an abruption, where blood from the separated placenta mixes with amniotic fluid and may present as vaginal bleeding. Patient history is also critical; in women with a prior cesarean section, there are additional risks associated with uterine scar tissue, which can contribute to complications such as abruption. The urgency of this condition necessitates immediate medical response to optimize outcomes for both the mother and the fetus.