A nurse in an obstetrics office is reviewing a client’s medical record. Exhibits For each client finding, click to specify if the finding is a biophysical, psychosocial, or environmental risk factor that increases the client’s risk for pregnancy complications. There must be at least one selection in every row.

Explanation of Each Classification Ultrasound result (Twin gestation) → Biophysical Multiple gestation increases risk for preterm labor, low birth weight, and other complications. Caffeine intake (3 energy drinks/day) → Psychosocial Excessive caffeine may reflect coping mechanisms for fatigue or stress, and poses risks for fetal development. Job (12-hour shifts as x-ray technician) → Environmental Long hours and potential radiation exposure are environmental stressors that may affect pregnancy outcomes. Pets (cats and guinea pig) → Environmental Possible exposure to toxoplasmosis from cat feces is an environmental concern during pregnancy. Medical history (bulimia nervosa) → Biophysical & Psychosocial Nutritional deficits and psychological stress from eating disorders can affect both maternal and fetal health. Laboratory results (low hemoglobin and hematocrit) → Biophysical Indicates anemia, which can lead to fatigue, poor fetal growth, and increased risk of complications. Recreational substance use (marijuana) → Psychosocial & Environmental Substance use reflects coping behavior and introduces environmental toxins that may impair fetal development.