A pregnant client experiences abruptio placentae. The father of the baby asks the nurse why this has happened to them. Which risk factor in the client's history is the likely cause for this condition?
A) Maternal smoking
B) Genetic history
C) Maternal cocaine use
D) The mother having low levels of folic acid
Answer: C
Maternal cocaine consumption during pregnancy puts the woman at risk for abruptio placentae. Cocaine use is also associated with preterm birth, low birth weight, neonatal irritability, neonatal depression, SIDS, and developmental delays. Teratogens are medications known to adversely affect normal cellular development in the embryo or fetus. Folic acid is necessary for normal neural tube development. Genetic history does not affect the risk for spontaneous abortion.
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