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A nurse is caring for a group of postpartum clients. Which client is at the highest risk for disseminated intravascular coagulation (DIC)?

a. Gravida III with twins
b. Gravida V with endometriosis
c. Gravida II who had a 9-lb baby.
d. Gravida I who has had an intrauterine fetal death:

User Edufinn
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1 Answer

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Final answer:

The gravida I client who has had an intrauterine fetal death is at the highest risk for disseminated intravascular coagulation (DIC).

Step-by-step explanation:

Disseminated intravascular coagulation (DIC) is a serious condition characterized by excessive blood clotting and bleeding. It can occur in postpartum clients, particularly those who experienced complications during pregnancy or childbirth. In this case, the gravida I client who has had an intrauterine fetal death is at the highest risk for DIC.

When there is an intrauterine fetal death, the placenta starts to release tissue factors into the maternal circulation, which can trigger the body's clotting system. However, as the body tries to form clots, it consumes platelets and clotting factors, potentially leading to widespread clotting and bleeding.

User Geremy
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