A young adult client is at 28 weeks' gestation. The client's prenatal history reveals past drug abuse, and her urine screening indicates that she has recently used heroin. Which potential health problem should the nurse recognize as the greatest risk to the fetus?

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A)Women who use heroin place their fetus at increased risk for intrauterine growth restriction (IUGR), as well as withdrawal symptoms, convulsions, tremors, irritability, sneezing, vomiting, fever, diarrhea, and abnormal respiratory function. Congenital anomalies are more commonly associated with use of other drugs, including lithium and dextroamphetamine sulfate. Diabetes is an endocrine disorder that is unrelated to drug use and abuse. Abruptio placentae is more commonly seen with use of alcohol, tobacco, and methadone than with use of heroin.
B)Women who use heroin place their fetus at increased risk for intrauterine growth restriction (IUGR), as well as withdrawal symptoms, convulsions, tremors, irritability, sneezing, vomiting, fever, diarrhea, and abnormal respiratory function. Congenital anomalies are more commonly associated with use of other drugs, including lithium and dextroamphetamine sulfate. Diabetes is an endocrine disorder that is unrelated to drug use and abuse. Abruptio placentae is more commonly seen with use of alcohol, tobacco, and methadone than with use of heroin.
C)Women who use heroin place their fetus at increased risk for intrauterine growth restriction (IUGR), as well as withdrawal symptoms, convulsions, tremors, irritability, sneezing, vomiting, fever, diarrhea, and abnormal respiratory function. Congenital anomalies are more commonly associated with use of other drugs, including lithium and dextroamphetamine sulfate. Diabetes is an endocrine disorder that is unrelated to drug use and abuse. Abruptio placentae is more commonly seen with use of alcohol, tobacco, and methadone than with use of heroin.
D)Women who use heroin place their fetus at increased risk for intrauterine growth restriction (IUGR), as well as withdrawal symptoms, convulsions, tremors, irritability, sneezing, vomiting, fever, diarrhea, and abnormal respiratory function. Congenital anomalies are more commonly associated with use of other drugs, including lithium and dextroamphetamine sulfate. Diabetes is an endocrine disorder that is unrelated to drug use and abuse. Abruptio placentae is more commonly seen with use of alcohol, tobacco, and methadone than with use of heroin.

A Young Adult Client Is at 28 Weeks' Gestation