Practice Question
A nurse on the obstetric unit is caring for a client who experienced abruptio placentae. The nurse observes petechiae and bleeding around the IV access site. The nurse should recognize that this client is at risk for which of the following complications?
Answer Choices:
Correct Answer:
Disseminated intravascular coagulation
Rationale:
🟥 Abruptio placentae can release large amounts of thromboplastin into maternal circulation, triggering widespread clotting followed by a depletion of clotting factors.
🟥 This leads to DIC, which manifests with petechiae, oozing at IV sites, and bleeding.
🟥 DIC is a life-threatening complication that requires prompt recognition and intervention with blood products and heparin in some cases.
🟥 It reflects a consumptive coagulopathy, where clots and bleeding occur simultaneously.
🟥 Nurses should be alert to early signs like uncontrolled bleeding and bruising.
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This question is from RN ATI~Maternal &Newborn final Exam which contains 81 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 4