A nurse is caring for a client who reports a recent episode of painful sores on the perineum, muscle aches, and chills for about 2 weeks.
The client currently denies pain but reports sitting is uncomfortable at times.
The client denies dysuria and reports mild vaginal itching.
What should the nurse anticipate?

Choice A rationale

Hypertension is the most common risk factor for placental abruption. Placental abruption occurs when the placenta partly or completely separates from the inner wall of the uterus before delivery. This can decrease or block the baby’s supply of oxygen and nutrients and cause heavy bleeding in the mother. Chronic high blood pressure (hypertension) is a known risk factor for placental abruption.

Choice B rationale

While blunt force trauma can be a cause of placental abruption, it is not the most common risk factor. Trauma or injury to the abdomen can cause placental abruption, but hypertension is a more common risk factor.

Choice C rationale

Cigarette smoking is a known risk factor for placental abruption, but it is not the most common risk factor. Smoking during pregnancy can increase the risk of placental abruption, but hypertension is a more common risk factor.

Choice D rationale

Cocaine use is a known risk factor for placental abruption, but it is not the most common risk factor. Use of cocaine during pregnancy can increase the risk of placental abruption, but hypertension is a more common risk factor.

Choice C rationale

While moderate caffeine consumption is generally considered safe during pregnancy, it’s important to note that caffeine is a stimulant and can increase heart rate and blood pressure, which can potentially affect the baby. Some studies also suggest that high caffeine intake may increase the risk of preterm birth or low birth weight. Therefore, it’s often recommended that pregnant women limit their caffeine intake.