RRB Nsg. Superintendent - 29 April 2025 (Shift-3rd)
Obstetrics & Gynaecology
Medium
In a placenta previa condition, the maternal complication seen during labor is:
Appeared in: RRB Nsg. Superintendent - 29 April 2025 (Shift-3rd)
Explanation
- Slow dilation of the cervix is a classic intrapartum (during labor) complication of placenta previa.
- The placenta's implantation in the lower uterine segment interferes with the normal mechanics of labor.
- The lower segment is less muscular and does not contract and retract as efficiently as the upper segment to facilitate cervical change.
- The placenta also acts as a physical barrier, preventing the fetal head from descending and applying direct pressure on the cervix, which is a primary stimulus for dilation.
Why Other Options Were Wrong
- Option A: Premature labor is considered an antepartum (during pregnancy) complication, not a complication that arises during the process of labor itself.
- Option B: Malpresentation, such as a breech or transverse lie, is an antepartum (during pregnancy) complication. The low-lying placenta prevents the fetus from engaging in a normal head-down position before labor starts.
- Option C: A retained placenta is a complication of the third stage of labor, which is technically part of the postpartum period.
Related Visual
- Visual 1: Diagram: Illustrating the different types of placenta previa (low-lying, marginal, partial, complete) to show how the placenta can obstruct the cervical os and interfere with labor.
- Visual 2: Flowchart: Categorizing the complications of placenta previa into Antepartum, Intrapartum, and Postpartum stages to clarify the timing of each event.
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Maternal complications of placenta previa during the intrapartum period as background academic context rather than a clinical decision trigger.
- Nurses must anticipate the potential for slow labor progress in patients with placenta previa and prepare for possible interventions, including cesarean delivery.
- Continuous maternal and fetal monitoring is critical due to the high risk of sudden, severe hemorrhage and fetal distress.
- Vaginal examinations are strictly contraindicated in known or suspected placenta previa as they can provoke catastrophic bleeding.
How to Approach the Question
- Identify the core concept: The question asks for a maternal complication of placenta previa that specifically occurs 'during labor'.
- Recognize that 'during labor' refers to the intrapartum period (first, second, and third stages).
- Mentally categorize the potential complications of placenta previa based on their timing: antepartum (before labor), intrapartum (during labor), and postpartum (after delivery).
- Evaluate each option against this timeline:
- Premature labor: This is the onset of labor before term, an antepartum event.
- Malpresentation: This is an abnormal fetal position identified before labor begins, an antepartum issue.
Concept Tested & Keywords
- Concept Tested: Maternal complications of placenta previa during the intrapartum period.
- Stem keywords: placenta previa, maternal complication, labor
- Lead-in keywords: during labor
Question ID
QSt8O4fI-6FI2UiaxnYsWy
Practise the full RRB Nsg. Superintendent - 29 April 2025 (Shift-3rd)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
More Antepartum Hemorrhage Questions
- An occurrence in which umbilical cord vessels pass through the placental membranes and lie across the cervical os is termed:
- A 32 week pregnant mother is having abdominal pain, tenderness and fetal distress. What will be the diagnosis in this patient?
- The first consideration in the treatment of placental abruption?
- Premature separation of the placenta from the uterine wall before delivery is?
- In placenta previa, due to repeated small bouts of hemorrhage while carrying on the expectant treatment can cause chronic placental insufficiency, wh…
- A client at 32 weeks gestation with a known twin pregnancy is admitted to the labor and delivery unit. She reports the sudden onset of continuous, se…
- The mother is diagnosed with partial placenta previa. The nurse tells the client that the usual treatment for partial placenta previa is?
- A nurse is assessing a pregnant woman with gestational hypertension. The nurse understands that a major risk of untreated preeclampsia includes:
- Which of the following is the management of partial placenta previa?
- Common cause of antepartum hemorrhage?
More RRB Nsg. Superintendent - 29 April 2025 (Shift-3rd) Questions
- A concave mirror with a focal length 'f' is cut into two equal halves along the principal axis. What happens to the focal length of each half?
- Which of the following factors determines the colour of scattered light in the atmosphere, according to the Tyndall effect?
- Which of the following statements is true for displacement reactions?
- Which of the following statements about molecules of elements is correct?
- Which of the following describes the process by which the concentration of toxic substances, such as pesticides, increases in organisms at higher lev…
- In December 2024, Prime Minister Narendra Modi was honoured with Kuwait's highest civilian award. What is the name of the award?
- Which immediate cause triggered the Sanyasi Uprisings in Bengal lasting from 1770 to the 1820s?
- Under which of the following Constitutional Amendments were the Fundamental Duties incorporated into the Indian Constitution?
- Which of the following statements is FALSE?
- Under which Indian government scheme launched in 2000 is additional central assistance given to states for basic services such as primary health, pri…