If a pregnant client is diagnosed with placental abruption, what should the nurse prepare for?

When a pregnant client is diagnosed with placental abruption, the priority is the safety and well-being of both the mother and the fetus. In cases of significant abruption, where there is a risk of fetal distress or maternal hemorrhage, an immediate delivery is often necessary. A cesarean birth is typically indicated in these situations, especially if the abruption is severe or there are signs of fetal distress, as it can provide a quicker means of delivering the fetus to prevent further complications.

Induction of labor may not be appropriate in cases of significant abruption because the risks associated with continuing the pregnancy often outweigh the benefits. Vaginal birth with assistance might be considered in less severe cases, but it still carries risks, especially if emergency intervention is needed. Extended bed rest can be a management strategy for less severe cases; however, it is not typically a preparation the nurse would undertake in response to a diagnosis of placental abruption that indicates a need for urgent delivery. In summary, the necessity for a cesarean birth arises from the need to swiftly address the risks posed by placental abruption.