What information should trigger teaching regarding the risk for abruptio placentae?

The presence of a history of hypertension is a significant risk factor for abruptio placentae, which is a serious condition involving the separation of the placenta from the uterine wall before delivery. Chronic hypertension can lead to various complications during pregnancy, including increased pressure on blood vessels and a higher likelihood of placental issues. Educating the client about this risk becomes essential, as knowing the warning signs and factors associated with abruptio placentae can prepare them for monitoring their health and seeking assistance if symptoms arise.

Other choices do not carry the same level of association with abruptio placentae. For example, lower back pain can be a common symptom in many pregnancies, and while it may warrant attention, it is not inherently a risk for this condition. Significant weight gain could indicate various factors affecting pregnancy but does not specifically relate to the risk of abruptio placentae. Similarly, vigorous exercise, while it may need to be moderated depending on individual circumstances, is not a direct trigger for this complication in most cases. Hence, the history of hypertension is the most relevant factor for educational focus regarding the risk of abruptio placentae.