Aclient at 34-weeks of gestation presents to labor and delivery complaining of a sudden onset of intense abdominal pain and vaginal bleeding. an ultrasound reveals a partial abruptio placentae.  1) list three (3) risk factors for this condition and 2) list three (3) priority nursing interventions.

Placenta abruptio placentae is the premature separation of the placenta from the uterine walls, therefore, limiting the blood and oxygen supply to the fetus. A mother who has a history of abruptio placentae in her previous pregnancy and a severe trauma or blow to the abdomen are at high risk of having partial abruptio placenta. We could not prevent this, however, here are nursing interventions to avoid it:
1. If the mother has a history of abruptio placentae during her previous pregnancy, she must inform her ob-gyn.
2.  Avoid any strenuous activities, if possible. When riding a car, always wear your seatbelt.
3. Avoid taking in drugs, cocaine, cigarettes during pregnancy.

Abruptio Placentae is premature separation of the placenta from mothers uterine wall. There are several risk factors as well as priority nursing interventions that are given below:-

Risk factors:

1. Chronic gestational hypertension

2. Smoking or use of cocaine

3. Short umbilical cord or other uterine abnormalities

4. Dietary deficiency

Nursing Interventions:

1. Place the women on the lateral side.

2. Do not perform any vaginal examination to avoid any further injury.

3. Check fetal heart sounds.

They probably don't understand either 1. what the nightmare is about or 2. his anxiety and stress