The primiparous client has told the nurse that she is afraid she will develop hemorrhoids during pregnancy because her mother did. Which of the following statements would be best for the nurse to make?
1. "It is not unusual for women to develop hemorrhoids during pregnancy."
2. "Most women don't have any problem until after they've delivered."
3. "If your mother had hemorrhoids, you will get them too. Get used to the idea."
4. "If you get hemorrhoids, you probably will need surgery to get rid of them."
1
Rationale:
1. Many pregnant women will develop hemorrhoids (anal varicose veins) either during pregnancy or after delivery from the pushing efforts of the second stage of labor. The increased weight of the gravid uterus, combined with constipation, can result in the varicosities' prolapsing.
2. Many pregnant women will develop hemorrhoids (anal varicose veins) either during pregnancy or after delivery from the pushing efforts of the second stage of labor.
3. Although there is a familial tendency to develop varicosities, including hemorrhoids, a family history does not automatically mean that a client will develop the condition.
4. Most hemorrhoids will resolve spontaneously, and will not require surgical intervention.
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