Patient presents with complaints consistent with possible retroplacental hemorrhage or retroplacental hematoma.  Presenting symptoms include vaginal bleeding, abdominal pain, and uterine tenderness.  Severity of bleeding ranges from spotting to heavy vaginal bleeding.  Pain may be described as sharp, cramping, or a constant ache.  Onset of symptoms occurred (document onset).  Fetal monitoring reveals (document fetal heart rate and any decelerations).  Ultrasound examination confirms the presence of a retroplacental clot measuring (document size) located behind the placenta.  Placental abruption is suspected.  Differential diagnoses considered include placental previa, vasa previa, and uterine rupture.  Patient's vital signs are (document blood pressure, heart rate, respiratory rate, and temperature).  Assessment indicates (document assessment of maternal and fetal stability).  Plan of care includes continuous fetal monitoring, serial ultrasound assessments, monitoring of vital signs, and laboratory evaluation including complete blood count, coagulation studies, and type and screen.  Patient is advised on restricted activity and pelvic rest.  Potential complications such as preterm labor, fetal distress, and disseminated intravascular coagulation (DIC) are discussed with the patient.  Management will be determined based on gestational age, severity of bleeding, and fetal well-being.  Patient education provided regarding signs and symptoms of worsening condition, and instructions to return to the hospital immediately if symptoms worsen.  Consult with Maternal-Fetal Medicine specialist is obtainedrecommended.