deficient Fluid Volume [isotonic] may be related to excessive blood loss, possibly evidenced by hypotension, increased heart rate, decreased pulse volume and pressure, delayed capillary refill, or changes in sensorium.

Fear related to threat of death (perceived or actual) to fetus/self, possibly evidenced by verbalization of specific concerns, increased tension, sympathetic stimulation.

acute Pain may be related to collection of blood between uterine wall and placenta, possibly evidenced by verbal reports, abdominal guarding, muscle tension, or alterations in vital signs.

impaired fetal Gas Exchange may be related to altered uteroplacental oxygen transfer, possibly evidenced by alterations in fetal heart rate and movement.