A patient is admitted to the labor and delivery unit with a history of ruptured membranes for 2 hours. This is her sixth delivery; she is 40 years old, and smells of alcohol and cigarettes. This patient is at risk for:

Question

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The patient's history of ruptured membranes for 2 hours puts her at risk for abruptio placentae, which is a serious complication where the placenta partially or completely separates from the uterus before the baby is born. This can cause heavy bleeding and compromise the baby's oxygen supply. The patient's age, history of multiple deliveries, and substance use (alcohol and cigarettes) further increase her risk for this complication. The other choices, gestational diabetes (A), placenta previa (B), and placenta accreta (D), do not seem to be related to the patient's specific risk factors.

A Patient Is Admitted to the Labor and Delivery Unit