A pregnant patient is concerned about a sharp pain that is felt in the lower abdomen when making a quick move. What action should the nurse take to help this patient?
A) Assess when the patient's last bowel movement occurred.
B) Explain that the sharp pain is tension on a uterine ligament.
C) Notify the physician because of manifestations of appendicitis.
D) Instruct that the pain is a pulled muscle and a heating pad will help.
B
Feedback:
If a pregnant woman moves quickly, she may pull one of the round or broad ligaments causing a quick, sharp pain of frightening intensity in one of the lower abdominal quadrants. This pain is not associated with bowel function. Pain of this type calls for conscientious assessment or it can be mistaken for labor or appendicitis pain. This pain is not because of a pulled muscle and application of heat is not indicated.
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