A 20-year-old woman is at 28 weeks' gestation. Her prenatal history reveals past drug abuse, and urine screening indicates that she has recently used heroin. The nurse should recognize that the woman is at increased risk for:
1. Erythroblastosis fetalis.
2. Diabetes mellitus.
3. Abruptio placentae.
4. Pregnancy-induced hypertension.
4
Rationale:
1. Erythroblastosis fetalis is secondary to physiological blood disorders such as Rh incompatibility.
2. Diabetes is an endocrine disorder that is unrelated to drug use/abuse.
3. Abruptio placentae is seen more commonly with cocaine/crack use.
4. Women who use heroin are at risk for poor nutrition, anemia, and pregnancy-induced hypertension (or pre-eclampsia).
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