A nurse is caring for a client who has been admitted to the antepartum unit. Which of the following complications is the client at risk of developing? Select the 2 complications the client is at risk of developing.
Explanation & Rationale
A. Disseminated intravascular coagulation: DIC is a rare, life-threatening condition associated with severe complications such as placental abruption or amniotic fluid embolism. The client currently has no signs or risk factors indicating DIC. B. Preeclampsia: Preeclampsia is characterized by new-onset hypertension and proteinuria after 20 weeks of gestation. This client’s blood pressure is within normal limits, so preeclampsia is not an immediate concern at this time. C. Placenta previa: Placenta previa involves implantation of the placenta over the cervical os, which would present with painless bright-red vaginal bleeding. The client’s lower back pain and pinkish discharge, along with contractions, do not suggest placenta previa. D. Sepsis: The client has a fever (38.4° C / 101.1° F) and reports vaginal discharge, which could indicate an intrauterine or urinary tract infection. Infections during pregnancy can rapidly progress to sepsis, so the client is at increased risk and requires close monitoring. E. Preterm prelabor rupture of membranes (PPROM): The client is experiencing uterine contractions at 33 weeks of gestation with pinkish vaginal discharge. These findings, along with her history of preterm birth, place her at risk for PPROM and preterm labor. F. Seizures: Seizures are primarily associated with eclampsia or epilepsy. The client has no history of seizure disorder or signs of preeclampsia, making this complication unlikely at this time.