Which risk factor may be documented for a prenatal client at risk for placental abruption?

Maternal hypertension is a significant risk factor for placental abruption, which is the premature separation of the placenta from the uterine wall. This condition can lead to serious complications for both the mother and the fetus. High blood pressure can cause damage to the blood vessels, which may increase the risk of bleeding and reduce placental blood flow, exacerbating the chances of an abruption occurring.

Hypertension can be pre-existing or develop during pregnancy and is associated with an increased risk of various complications, including placental complications. Therefore, identifying and managing maternal hypertension is crucial in prenatal care to reduce risks for both the mother and the developing fetus.

In contrast, while maternal obesity, history of gestational diabetes, and multiple pregnancies might pose risks during pregnancy, they are not as directly linked to the likelihood of placental abruption as maternal hypertension. Each of these factors can contribute to other pregnancy-related complications, but hypertension is specifically noted for its role in promoting conditions that lead to placental separation.