A nurse in an obstetrics office is reviewing a client’s medical record. The client is a 32-year-old female at 28 weeks gestation. 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.
Explanation & Rationale
Choice A rationale: Chronic hypertension significantly increases the risk of complications such as preeclampsia, intrauterine growth restriction, and placental abruption. Normal blood pressure is <120/80 mmHg. Elevated blood pressure can damage blood vessels and organs, affecting placental function. Choice B rationale: A sedentary lifestyle can lead to excessive weight gain, gestational diabetes, and venous thromboembolism. Lack of physical activity is linked to poor cardiovascular health and increased risk of preeclampsia. Regular exercise is recommended to mitigate these risks. Choice C rationale: Occasional dizziness is common during pregnancy due to hormonal changes, increased blood volume, or postural hypotension. It is not a major risk factor for pregnancy complications unless associated with other symptoms like severe headache or visual disturbances. Choice D rationale: Consuming 1 cup of coffee daily (approximately 95 mg of caffeine) is generally considered safe during pregnancy. The American College of Obstetricians and Gynecologists states that moderate caffeine intake (<200 mg/day) does not significantly increase the risk of pregnancy complications.