A Woman Is in Her Seventh Month of Pregnancy

A woman is in her seventh month of pregnancy.She reports episodes of nasal congestion and occasional epistaxis.Which statement best describes why this may be happening to this client?

A) This respiratory change is normal in pregnancy and caused by an elevated level of estrogen.
B) This cardiovascular change is abnormal,and the nosebleeds are an ominous sign.
C) The woman is a victim of domestic violence and is being hit in the face by her partner.
D) The woman has been likely intranasally using cocaine for several months.