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 separation of the placenta, leading to vaginal bleeding and abdominal pain. Cocaine use is a risk factor as it causes vascular constriction, increasing placental rupture likelihood.Choice B rationaleHydatidiform mole is a rare complication involving abnormal trophoblastic growth. It manifests as uterine size discrepancies and elevated hCG levels rather than pain and bleeding.Choice C rationalePreterm labor may cause abdominal pain but is not associated with continuous bleeding or drug-related risk factors like cocaine use. It involves uterine contractions initiating labor before 37 weeks.Choice D rationalePlacenta previa involves placental attachment over the cervical os, causing painless bleeding. It does not cause continuous abdominal pain or link to cocaine-induced vascular damage.