A nurse in an obstetrics office is reviewing a client's medical record. Exhibits Which of the following findings increase the client's risk for pregnancy complications? Select the 2 findings that increase the client's risk for pregnancy complications.

Choice A rationale: Surgical history does not necessarily increase pregnancy complications, especially with resolved conditions like cholecystectomy and appendectomy. However, each surgical procedure's impact varies, and this client's surgeries were neither recent nor directly related to reproductive health. Choice B rationale: Asthma and hypertension both increase pregnancy risk. Uncontrolled asthma can lead to preeclampsia and low birth weight. Hypertension, particularly with losartan use, can affect placental function and fetal development, necessitating close monitoring and medication adjustment. Choice C rationale: Advanced maternal age (over 35) heightens risks such as chromosomal abnormalities, gestational diabetes, and preeclampsia. Pregnancy complications increase with age, necessitating more frequent prenatal monitoring and potential interventions to ensure maternal and fetal health. Choice D rationale: BMI information isn't provided, making it impossible to assess its impact. BMI outside the normal range can influence pregnancy outcomes, but without this data, we cannot definitively link it to increased risk in this scenario. Choice E rationale: Psychosocial factors, like recent marriage and work stress, do influence pregnancy, but the primary clinical concerns here are medical history and age. Addressing psychosocial stress is still important but is secondary to physiological conditions.