This learning activity prepares perinatal nurses to recognize and manage placental abruption, a life-threatening obstetric emergency. The content covers risk factors, clinical presentations ranging from subtle to severe, systematic assessment techniques integrating maternal and fetal parameters, and evidence-based emergency interventions including stabilization, massive transfusion protocols, and delivery timing based on current ACOG and SMFM guidelines. Emphasizing advanced clinical judgment, the learning activity equips nurses to synthesize complex assessment data, identify atypical presentations, and execute time-critical interventions that optimize maternal and neonatal outcomes during this critical complication.