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In this scenario, further assessment is required to confirm if the bruises on the pregnant client's face and abdomen indicate domestic abuse or other potential conditions like thrombocytopenic purpura or excessive exercise.
Domestic abuse needs to be confirmed through further assessment in this scenario where bruises are noted on specific areas of the pregnant client's body, such as the face and abdomen, but not on her legs and arms. It is crucial to investigate and rule out other potential causes like thrombocytopenic purpura, a condition characterized by internal bleeding into the skin causing purple patches.
Additionally, considering the unique changes in the integumentary system during pregnancy, including the appearance of stretch marks and other skin conditions like chloasma, plays a role in differential diagnosis. Addressing concerns like signs of excessive exercise or gestational complications like hydatidiform mole also becomes essential in the assessment process.
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