A nurse is caring for a client at 29 weeks gestation that arrived to OB triage with complaints of uterine contractions every 45 minutes.
After the initial assessment, an order for Nifedipine was received.
The nurse is now evaluating the effects of the medication.
Which of the following assessments indicates the medication was effective?

Choice A rationale

HELLP syndrome includes elevated LDH levels, indicating hemolysis, not decreased levels.

Choice B rationale

HELLP syndrome involves hemolysis, reducing red blood cells, not increasing their production.

Choice C rationale

Elevated liver enzymes are a key feature of HELLP syndrome, reflecting liver damage.

Choice D rationale

HELLP syndrome is characterized by low platelets (thrombocytopenia), not increased platelets.

Based on the assessment findings, the nurse determines that the findings are consistent with abruptio placentae (placental abruption)1.

Here's a breakdown of the findings:

• Abdominal assessment: Rigid and tender abdomen21.
• Abdominal pain level: The client reports abdominal pain21.
• Uterine tone: No evidence of uterine contractions21.
• Description of bleeding: Dark red vaginal bleeding21.

Placental abruption is characterized by the placenta partially or completely separating from the uterine wall before delivery, which can cause painful bleeding and a rigid, tender abdomen21

Here's a table with the assessment findings, indicating which findings are consistent with placenta previa and abruptio placentae: