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    ATI RN Comprehensive Predictor 2023 Updated Proctored Exam
    Select All That Apply

    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. Sepsis Sepsis is a systemic infection that can occur during pregnancy, particularly if there is an infection such as chorioamnionitis (infection of the amniotic sac) or endometritis (infection of the uterine lining). The client's fever (38.4°C) could be indicative of infection, which is a risk factor for sepsis. B. Placenta Previa Placenta previa occurs when the placenta implants in the lower part of the uterus, covering the cervix. This can cause vaginal bleeding and may lead to complications during labor. However, this is not related to the client's current symptoms. C. Disseminated Intravascular Coagulation (DIC) DIC is a serious condition that can occur due to pregnancy complications like abruptio placentae, infection, or severe preeclampsia. However, the client’s symptoms do not indicate bleeding, bruising, or other signs of DIC. The client's blood pressure (130/78) is normal, and there are no indications of placental abruption. D. Preeclampsia Preeclampsia is characterized by hypertension and proteinuria. The client’s blood pressure (130/78) is normal, and there are no signs of significant swelling or other symptoms commonly associated with preeclampsia. E. Preterm Premature Rupture of Membranes (PPROM) PPROM is the rupture of the membranes (amniotic sac) before 37 weeks gestation, leading to the risk of infection, preterm labor, and other complications. While the client’s membranes are intact at this time, preterm labor at 33 weeks is a risk factor for PPROM. F. Seizures Seizures in pregnancy are most commonly seen in conditions like eclampsia, which is a complication of preeclampsia. However, the client does not have the signs of preeclampsia (high blood pressure, proteinuria, edema) that typically lead to eclampsia.

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