Which of the following are signs and symptoms of placenta abruption? (Select all that apply))

Choice A rationale

Uterine atony refers to a lack of muscle tone in the uterus, leading to postpartum hemorrhage, not subinvolution.

Choice B rationale

Prolonged lochia discharge indicates incomplete uterine involution, as the uterus has not returned to its pre-pregnancy size.

Choice C rationale

Severe cramping may be related to other postpartum complications and is not specific to subinvolution.

Choice D rationale

High fever is more indicative of an infection rather than subinvolution of the uterus.

Choice A rationale

Thickening of the uterine lining is not characteristic of gestational trophoblastic disease (GTD). Instead, GTD involves abnormal growth of trophoblast cells, which form part of the placenta, leading to its distinct appearance.

Choice B rationale

Enlargement of the fallopian tubes is not associated with GTD. GTD involves abnormal placental development rather than tubal changes. Ultrasound imaging reveals characteristic findings in the placenta.

Choice C rationale

GTD's hallmark ultrasound finding is grape-like clusters in the placenta, indicative of molar pregnancy. This appearance results from the proliferation of abnormal trophoblast cells and hydropic villi.

Choice D rationale

Multiple cysts in the ovaries are not characteristic of GTD. This description may relate to polycystic ovary syndrome (PCOS) but does not align with GTD’s specific ultrasound findings involving the placenta.