What might indicate a risk for DIC in a pregnant client?

• A. High blood pressure readings.
• B. Elevated levels of iron.
• C. Presence of petechiae and hematuria.
• D. Decreased fetal activity.

Answer: (C)

The presence of petechiae and hematuria is indicative of disseminated intravascular coagulation (DIC) in a pregnant client. Petechiae are small red or purple spots on the body, caused by minor bleeding from broken capillary blood vessels, while hematuria refers to the presence of blood in the urine. Both of these symptoms suggest a disruption in normal coagulation processes, which is a characteristic feature of DIC. In this condition, widespread clotting occurs, leading to the consumption of platelets and clotting factors, which can result in bleeding and other hematological abnormalities such as those represented by petechiae and hematuria.

In contrast, high blood pressure readings might indicate a different set of complications, such as preeclampsia, rather than DIC. Elevated levels of iron could suggest a different issue, such as iron overload, but do not specifically indicate a risk for DIC. Decreased fetal activity is concerning and may suggest placental issues or fetal distress, rather than directly linking to DIC. Thus, the combination of petechiae and hematuria is a crucial indicator for assessing the risk of DIC in a pregnant client.