What complication is likely for a client experiencing continuous abdominal pain and vaginal bleeding at 38 weeks of gestation with a history of cocaine use?

The correct answer, abruptio placentae, refers to the premature separation of the placenta from the uterine wall, which can occur as a result of various factors, including trauma, hypertension, and substance abuse, including cocaine. In this scenario, the client is at 38 weeks of gestation, experiencing continuous abdominal pain and vaginal bleeding, both of which are classic symptoms indicative of abruptio placentae. The use of cocaine is particularly concerning, as it can induce vasoconstriction, which may compromise placental blood flow and increase the risk for placental abruption.

Abruptio placentae is characterized by sudden onset abdominal pain and often presents with vaginal bleeding, although the blood may be concealed if the separation occurs behind the placenta. This condition can lead to severe complications for both the mother and the fetus, including fetal distress and maternal hemorrhage, making prompt recognition and management crucial.

In contrast, hydatidiform mole typically presents with other symptoms such as abnormal uterine enlargement and possibly hyperemesis gravidarum or gestational hypertension, and is not typically associated with cocaine use or the particular combination of symptoms described. Preterm labor is characterized by regular contractions leading to changes in the cervix before 37 weeks, rather than the combination of