A pregnant client experiences abruptio placentae. The father of the baby asks the nurse why this has happened. Which risk factor in the client's history is the most likely cause for this condition?
A)Maternal use of marijuana during pregnancy
B)Genetic history
C)Maternal use of methadone during pregnancy
D)Low maternal folic acid levels

Question

Quizplus · Accepted Answer

A)Maternal use of methadone during pregnancy puts a woman at risk for abruptio placentae. Methadone use is also associated with fetal distress, meconium aspiration, preterm labor, rapid labor, and severe withdrawal in the newborn. Marijuana use is associated with an increased risk of intrauterine growth restriction (IUGR), but not with an increased rate of placental abruption. Low folic acid levels would contribute to neural tube problems. Genetic history does not affect the risk for abruption.
B)Maternal use of methadone during pregnancy puts a woman at risk for abruptio placentae. Methadone use is also associated with fetal distress, meconium aspiration, preterm labor, rapid labor, and severe withdrawal in the newborn. Marijuana use is associated with an increased risk of intrauterine growth restriction (IUGR), but not with an increased rate of placental abruption. Low folic acid levels would contribute to neural tube problems. Genetic history does not affect the risk for abruption.
C)Maternal use of methadone during pregnancy puts a woman at risk for abruptio placentae. Methadone use is also associated with fetal distress, meconium aspiration, preterm labor, rapid labor, and severe withdrawal in the newborn. Marijuana use is associated with an increased risk of intrauterine growth restriction (IUGR), but not with an increased rate of placental abruption. Low folic acid levels would contribute to neural tube problems. Genetic history does not affect the risk for abruption.
D)Maternal use of methadone during pregnancy puts a woman at risk for abruptio placentae. Methadone use is also associated with fetal distress, meconium aspiration, preterm labor, rapid labor, and severe withdrawal in the newborn. Marijuana use is associated with an increased risk of intrauterine growth restriction (IUGR), but not with an increased rate of placental abruption. Low folic acid levels would contribute to neural tube problems. Genetic history does not affect the risk for abruption.

A Pregnant Client Experiences Abruptio Placentae