Question

The nurse who is employed in a prenatal clinic is performing prenatal assessments on clients who are in their first trimester of pregnancy. The nurse is concerned with identifying clients who may be at risk for the development of postpartum complications. Which client would be at the lowest risk for development of postpartum thromboembolic disorders?

1. A 39-year-old woman who reports that she smokes
2. A 26-year-old woman with a family history of thrombophlebitis
3. A 37-year-old woman in her fourth pregnancy who is overweight
4. A 22-year-old woman with a first pregnancy who states that oral contraceptives taken in the past have caused thrombophlebitis

Answer 1

The client at the lowest risk for development of postpartum thromboembolic disorders is the 22-year-old woman with her first pregnancy who has a history of thrombophlebitis caused by oral contraceptives.

Step-by-step explanation:

The client who would be at the lowest risk for development of postpartum thromboembolic disorders is option 4, the 22-year-old woman with her first pregnancy who states that oral contraceptives taken in the past have caused thrombophlebitis. One of the risk factors for postpartum thromboembolic disorders is a history of thrombophlebitis, which is inflammation in a vein caused by a blood clot formation. Since this client has a history of experiencing thrombophlebitis in the past as a result of oral contraceptive use, there is a higher likelihood of her not having any current clotting issues associated with her pregnancy.