Which finding is NOT associated with abruptio placentae?

Which finding is NOT associated with abruptio placentae?

• A. Uterine tenderness
• B. Acute abdominal pain
• C. A hard, "board-like" abdomen
• D. Painless, bright red vaginal bleeding

Answer: (D)

In placental abruption, the placenta separates from the uterus, causing painful bleeding. The uterus is typically tender and may feel firm or “board-like” if there is concealed hemorrhage, and the pain is often acute. A painless vaginal bleed, especially bright red, is not typical of abruption; that presentation is classic for placenta previa, where bleeding occurs without pain because the placenta overlies the cervix and disrupts bleeding without triggering uterine contractions. So the finding that is not associated with abruptio placentae is painless, bright red vaginal bleeding.

In placental abruption, the placenta separates from the uterus, causing painful bleeding. The uterus is typically tender and may feel firm or “board-like” if there is concealed hemorrhage, and the pain is often acute. A painless vaginal bleed, especially bright red, is not typical of abruption; that presentation is classic for placenta previa, where bleeding occurs without pain because the placenta overlies the cervix and disrupts bleeding without triggering uterine contractions. So the finding that is not associated with abruptio placentae is painless, bright red vaginal bleeding.