Inpatient Obstetric Nurse (NCC) 2025 – 400 Free Practice Questions to Pass the Exam

The presence of painless vaginal bleeding during the second or third trimester of pregnancy typically raises concern for placenta previa. This condition occurs when the placenta is abnormally located and lies over or near the cervix. As the uterus grows, it can cause the placenta to detach from the uterine wall, leading to bleeding that usually does not involve pain.

In many cases, women with placenta previa may not experience any discomfort, which distinguishes it from other complications. Regular monitoring and ultrasound evaluations are critical in managing this condition safely, especially as the pregnancy progresses.

While other complications such as placental abruption, uterine rupture, and vasa previa can also lead to bleeding, they are often associated with pain or occur under different circumstances. Therefore, the presentation of painless bleeding is a hallmark sign of placenta previa, making it the most likely suspicion in this situation.