During the assessment of a multigravida client, which history details are important to obtain for a client with abdominal pain and vaginal spotting?

In the context of assessing a multigravida client presenting with abdominal pain and vaginal spotting, obtaining a history of sexually transmitted diseases (STDs) is critical. This is important because a history of STDs can significantly impact a woman's pregnancy and may lead to complications like pelvic inflammatory disease, which could manifest as abdominal pain and spotting. Additionally, STDs can pose risks to both the mother and the fetus, increasing the chances of miscarriage, preterm birth, and other complications. Understanding the client's STD history helps guide appropriate interventions, testing, and treatment options that may be necessary to ensure the health and safety of both the client and her pregnancy.

While the other details—number of sexual partners, last menstrual period, and contraceptive use—can provide useful contextual information, they are less directly related to the immediate concerns of abdominal pain and vaginal spotting. The number of sexual partners might indicate risk levels for certain STDs, but it does not specifically address active health issues. Similarly, the last menstrual period can inform gestational age and potential pregnancy complications but does not directly illuminate the cause of the current symptoms. Contraceptive use also offers insight into the client’s reproductive health but is not as immediately relevant to the assessment of acute symptoms such as spotting and