A nurse is caring for a client who is at 38 weeks of gestation and is experiencing continuous abdominal pain and vaginal bleeding.The client has a history of cocaine use.The nurse should identify that the client is likely experiencing which of the following complications?

Choice A rationaleAbruptio placentae involves premature placental separation, linked to cocaine use, which increases vasoconstriction and hypertension. Symptoms include pain, vaginal bleeding, and fetal distress due to impaired placental function.Choice B rationaleHydatidiform mole causes abnormal trophoblastic growth with no association with cocaine use. Signs include significantly elevated HCG and uterine enlargement unrelated to gestational age.Choice C rationalePreterm labor may follow substance use but lacks the hallmark signs of pain and bleeding characteristic of abruptio placentae. Preterm labor focuses on uterine contractions and cervical changes.Choice D rationalePlacenta previa presents with painless vaginal bleeding and no abdominal pain. Cocaine use does not heighten placenta previa risk directly but may cause other obstetric complications.