A client arrives at the emergency department with small amounts of vaginal bleeding and severe left-sided abdominal pain.
The client tells the nurse she is unsure of when her last menstrual period was, but maybe about 7 weeks ago.
The client's blood pressure is 82/55 mm/Hg, and her pulse is 120 bpm.
The nurse notifies the healthcare provider immediately due to her concern about which complication?

Given the symptoms and physical examination findings, the nurse should anticipate a provider prescription for Acyclovir as evidenced by the presence of vesicles and pustules.

The case presented shows several key indicators that point toward a diagnosis of genital herpes, which is caused by the herpes simplex virus (HSV).

1. Presence of vesicles and pustules: The small, pinpoint open vesicles and pustules on the labia majora, along with clear drainage, are classic signs of genital herpes.
2. Erythema and tenderness: The redness (erythema) and tenderness of the perineal area further support this diagnosis.
3. Systemic symptoms: The client reports muscle aches and chills, which are common systemic symptoms of a viral infection like herpes.
4. Denies dysuria and other severe symptoms: The absence of symptoms like dysuria and acute distress is consistent with the presentation of genital herpes during the vesicle stage.

Acyclovir is an antiviral medication commonly prescribed for the treatment of herpes simplex infections. It helps to reduce the severity and duration of symptoms. Hence, the nurse should anticipate a prescription for Acyclovir based on the clinical presentation and findings.

Choice A rationale

Asthma is a respiratory condition and is not directly linked to an increased risk of placental abruption. While chronic conditions can affect pregnancy, asthma is not a direct risk factor for abruption.

Choice B rationale

Hyperthyroidism is a thyroid condition that can cause complications during pregnancy, but it is not a known risk factor for placental abruption. It affects the mother's metabolism and can impact fetal development, but does not typically cause placental detachment.

Choice C rationale

Previous cesarean delivery is associated with risks such as uterine rupture in future pregnancies, but not specifically with placental abruption. The scar tissue from a cesarean may affect the placenta's position, but does not increase the risk of abruption directly.

Choice D rationale

Hypertension, or high blood pressure, is a significant risk factor for placental abruption. It can damage the blood vessels in the placenta, leading to separation from the uterine wall and resulting in abruption, which can be dangerous for both mother and baby.