Difficulty: Medium
Average Score: 85%
Simulated
Passage / Scenario
Client at 38 weeks of gestation experiencing continuous abdominal pain and vaginal bleeding, with a history of cocaine use.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?
Correct answer
A
Rationale
Abruptio 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.