NCC Inpatient Obstetric Nursing (RNC-OB) Certification Practice Exam

The presence of petechiae, hematuria, and bleeding from IV sites strongly indicates a coagulopathy. This condition involves impaired blood coagulation, which can result from various disorders affecting the clotting process. In a pregnant patient, underlying issues such as Disseminated Intravascular Coagulation (DIC) or thrombocytopenic conditions are common causes of these symptoms.

Petechiae are small red or purple spots on the body, often resulting from bleeding underneath the skin due to a low platelet count or coagulation factor deficiencies. Hematuria, or blood in the urine, can also signify bleeding that may be occurring due to vascular changes or coagulopathy. Moreover, bleeding from IV sites indicates a failure of the blood to clot properly when trauma occurs.

This combination of symptoms aligns specifically with coagulopathy rather than conditions such as sepsis, anemia, or gestational diabetes. While these other conditions can lead to various complications during pregnancy, they do not typically manifest with the particular triad of symptoms outlined in this question. Therefore, identifying coagulopathy as the condition in question is accurate based on the clinical presentation provided.