A nurse in a provider's office is caring for a client who is at 37 weeks of gestation and at risk for placental abruption.
The nurse should recognize that which of the following is a risk factor for abruption?

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.

Choice A rationale

Nausea is typically present in patients with a hydatidiform mole due to high hCG levels.

Choice B rationale

Category II fetal heart rate patterns are indicative of intermediate fetal compromise but are not specific to hydatidiform mole.

Choice C rationale

hCG levels are typically elevated, not decreased, in a hydatidiform mole due to the abnormal growth of trophoblastic tissue.

Choice D rationale

An enlarged uterus is a classic sign of a hydatidiform mole due to the overgrowth of placental tissue without a viable fetus.