A pregnant woman calls the OB clinic nurse to complain of sharp abdominal pain with coughing or sneezing. What action by the nurse is best?
A.
Explain that the pain is from stretching of the ligaments.
B.
Have the woman count her contractions each hour while awake.
C.
Place the woman on bedrest until her next clinic visit.
D.
Tell the woman to come to the clinic today.
ANS: A
The uterus is supported by several ligaments. The round ligaments expand in diameter and length during pregnancy and may be associated with sharp pain if they are stretched tight during sudden movement, such as with sneezing, coughing, or position changes. The nurse should reassure the woman that this is not concerning and explain the phenomenon. There is no need for the woman to count contractions, be placed on bedrest, or come in to the clinic that day.
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