Which of the following factors would indicate that the client was at risk for a spontaneous abortion?
1. Taking a medication that was a known teratogen
2. Smoking
3. Having low levels of folic acid
4. Genetic history
Correct Answer: 2
Rationale 1: Teratogens are medications known to adversely affect normal cellular development in the embryo or fetus.
Rationale 2: Smoking has been associated with preterm labor, spontaneous abortion, low-birth-weight infants, sudden infant death syndrome, and learning disorders.
Rationale 3: Folic acid is necessary for normal neural tube development.
Rationale 4: Genetic history does not affect the risk for spontaneous abortion.
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