In a client with placenta previa at 38 weeks twin pregnancy, what risk would be anticipated?

In a client with placenta previa at 38 weeks twin pregnancy, what risk would be anticipated?

• A. Infection
• B. Hemorrhage
• C. Chronic hypertension
• D. DIC

Answer: (B)

Placenta previa creates a high risk of heavy vaginal bleeding because the placental tissue ins overlies or is near the cervical os, so as labor begins or the cervix dilates, the placenta can separate more easily and cause brisk hemorrhage. In a term twin pregnancy, the uterus is distended and vascular, increasing the likelihood and severity of this bleeding, making hemorrhage the anticipated risk. Infection isn’t the defining risk here unless bleeding leads to infection or prolonged rupture. Chronic hypertension is a separate condition and not the primary concern with placenta previa. DIC can occur if massive hemorrhage develops, but the core issue driven by placenta previa is hemorrhage risk, especially at 38 weeks with a twin gestation.

Placenta previa creates a high risk of heavy vaginal bleeding because the placental tissue ins overlies or is near the cervical os, so as labor begins or the cervix dilates, the placenta can separate more easily and cause brisk hemorrhage. In a term twin pregnancy, the uterus is distended and vascular, increasing the likelihood and severity of this bleeding, making hemorrhage the anticipated risk. Infection isn’t the defining risk here unless bleeding leads to infection or prolonged rupture. Chronic hypertension is a separate condition and not the primary concern with placenta previa. DIC can occur if massive hemorrhage develops, but the core issue driven by placenta previa is hemorrhage risk, especially at 38 weeks with a twin gestation.