A student asks the nurse why so many pregnant women get cholecystitis. Which response by the nurse is best?
A.
"Inefficient emptying leads to stasis of bile and inflammation, or cholecystitis."
B.
"Pregnant women crave high-fat foods that cause gallbladder irritation."
C.
"Some pregnant women have a genetic predisposition to gallbladder problems."
D.
"Vascular changes to the liver capsule cause bile to back up into the gallbladder."
ANS: A
The gallbladder muscle becomes more relaxed during pregnancy, resulting in inefficient emptying. Stasis of the bile occurs, which then leads to infection or inflammation (cholecystitis). High-fat meals can worsen the symptoms, which include epigastric pain. However, this is not the primary etiology. This condition is not related to genetic predisposition and liver vascular changes.
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