A student asks the nurse why so many pregnant women get ...

[stevenposner]

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.

Question 2

A pregnant woman is complaining of frequent heartburn. What statement by the patient indicates to the nurse that teaching has been effective?
 
  A.
  Drinking less alcohol should prevent this.
  B.
  Eating larger, less frequent meals will help.
  C.
  I should take antacids before each meal.
  D.
  I will not lie down for 1 hour after eating.

[cam1229]

Answer to Question 1

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.

Answer to Question 2

ANS: D
Heartburn, or pyrosis, occurs due to changes in the function of the cardiac sphincter, which allows reflux of stomach contents into the esophagus. Self-care measures for this condition include eating small meals and remaining upright for at least an hour after meals. Antacid use should be limited. Pregnant women should not drink alcohol at all.

[stevenposner]

Thank you

[cam1229]

Happy to help you