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:
1. Gestational diabetes.
2. Placenta previa.
3. Abruptio placentae.
4. Placenta accreta.
3
Rationale 1: Gestational diabetes is not an issue with this patient.
Rationale 2: Placenta previa is not an issue with this patient.
Rationale 3: Abruptio placentae is associated with excessive intrauterine pressure, and can be caused by alcohol and cigarette use, increased age, and increased parity.
Rationale 4: Placenta accreta is not an issue with this patient.
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