Florida State Paramedic Practice Exam

What is the usual treatment for abrupto placenta during the last trimester?

1. Immediate bed rest

2. Monitoring and possible delivery

3. Surgical intervention only

4. Medications for pain

The correct answer is: Monitoring and possible delivery

The usual treatment for abruptio placentae, or placental abruption, particularly during the last trimester, is monitoring and possible delivery. This condition, characterized by the premature separation of the placenta from the uterine wall, can pose significant risks to both the mother and the fetus, including heavy bleeding, fetal distress, and complications related to preterm birth. In cases of mild abruption with stable maternal and fetal conditions, careful monitoring may be deemed sufficient, and the situation may be managed with close observation. However, if there are signs of significant bleeding, maternal instability, or fetal distress, a timely delivery may be necessary to ensure the safety of both the mother and the fetus, making this option the most appropriate and widely accepted approach in clinical practice. Immediate bed rest alone does not address the potential complications of placental abruption, and while surgical intervention might be required in severe cases, particularly those requiring hysterectomy, it is not the first line of treatment nor applicable in all instances. Similarly, pain management could be necessary, but it would not be the primary treatment focus in the immediate context of placental abruption. Therefore, the most fitting approach involves careful monitoring and, if warranted by the conditions, preparing for delivery.