The nurse is planning an educational program about disseminated intravascular coagulation (DIC) in pregnancy. What risk factors should the nurse include about this health problem? Select all that apply
1. Multiparity
2. Preterm labor
3. Diabetes mellitus
4. Abruptio placentae
5. Prolonged retention of a fetus after demise
4, 5
Explanation:
1. Multiparity does not cause the same release of thromboplastin that triggers DIC.
2. Preterm labor does not cause the same release of thromboplastin that triggers DIC.
3. Diabetes does not cause the same release of thromboplastin that triggers DIC.
4. Abruptio placentae leaves intrauterine arteries open and bleeding. This results in release of thromboplastin into the maternal blood supply and triggers the development of DIC.
5. In prolonged retention of the fetus after demise, thromboplastin is released from the degenerating fetal tissues into the maternal bloodstream, which activates the extrinsic clotting system. This triggers the formation of multiple tiny clots, which deplete the fibrinogen and factors V and VII, and result in DIC.
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