A 20-year-old woman at 28 weeks' gestation has a history of past drug abuse and her urine screening indicates recent heroin use. What should the nurse recognize this client is at risk for developing?
1. Diabetes mellitus
2. Abruptio placentae
3. Erythroblastosis fetalis
4. Pregnancy-induced hypertension
4
Explanation:
1. Diabetes is an endocrine disorder that is unrelated to drug use/abuse.
2. Abruptio placentae is seen more commonly with cocaine/crack use.
3. Erythroblastosis fetalis is secondary to physiologic blood disorders such as Rh incompatibility.
4. Women who use heroin are at risk for poor nutrition, anemia, and pregnancy-induced hypertension (or preeclampsia).
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