A nurse is caring for a client who has been admitted to the antepartum unit. Exhibits The client is at risk for developing which of the following 2 complications? Select 2 complications the client is at risk for developing.
Explanation & Rationale
A. Placenta Previa: Placenta previa causes painless, bright red vaginal bleeding, not back pain or contractions. The cervix is 2 cm dilated, which suggests the bleeding is due to labor progression, not previa. B. Preterm Prelabor Rupture of Membranes (PROM): The client is 33 weeks pregnant and has lower back pain, pinkish vaginal discharge, regular contractions, these signs suggest preterm labor, which can be associated with PROM. History of preterm birth (30 weeks gestation) increases her risk for another preterm complication. C. Seizures: No neurological symptoms (e.g., headache, visual changes) to indicate risk for seizures or eclampsia. D. Sepsis: The client has a fever of 38.4°C (101.1°F), which is concerning for infection. Minimal fetal heart rate (FHR) variability may indicate fetal distress due to infection. Urinalysis was collected, suggesting the provider is evaluating for a urinary tract infection (UTI), which could progress to sepsis. Preterm labor + fever raises suspicion for chorioamnionitis, a major cause of maternal and neonatal sepsis. E. Disseminated Intravascular Coagulation (DIC): DIC is usually triggered by severe complications like placental abruption, fetal demise, or amniotic fluid embolism, none of which are present here. F. Preeclampsia: No hypertension (BP is 130/78 mm Hg), no proteinuria or signs of end-organ damage. More common after 20 weeks but less likely with normal BP