The nurse is planning an in-service educational program to talk about disseminated intravascular coagulation (DIC)
The nurse should identify which conditions as risk factors for developing DIC? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Diabetes mellitus
2. Abruptio placentae
3. Prolonged retention of a fetus after demise
4. Multiparity
5. Preterm labor
2,3
Rationale 1: Diabetes does not cause the release of thromboplastin that triggers DIC.
Rationale 2: Abruptio placentae leaves intrauterine arteries open and bleeding. This results in the release of thromboplastin into the maternal blood supply and triggers the development of DIC.
Rationale 3: In prolonged retention of the fetus after demise, thromboplastin is released from the degenerating fetal tissues into the maternal bloodstream, which activates the extrinsic clotting system. This triggers the formation of multiple tiny clots, which deplete the fibrinogen and factors V and VII, and result in DIC.
Rationale 4: Multiparity does not cause the release of thromboplastin that triggers DIC.
Rationale 5: Preterm labor does not cause the release of thromboplastin that triggers DIC.
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