A patient at 10 weeks' gestation has developed cholecystitis. If ...

[Alainaaa8]

A patient at 10 weeks' gestation has developed cholecystitis. If surgery is required, the safest time during pregnancy would be:
 
  1. Immediately, before the fetus gets any bigger.
  2. Early in the second trimester.
  3. As close to term as possible.
  4. The risks are too high to do it anytime in pregnancy.

Question 2

A client arrives at the emergency department stating that she was raped, but she felt so dirty that she went home and showered. She states that she has on clean clothes but has her other clothes in a bag. What will the nurse tell the client?
 
  1. I understand why you felt dirty, but you know you should not have taken a shower.
  2. We will probably never find out who raped you because you destroyed evidence.
  3. Do you want an emergency contraceptive pill?
  4. I understand that was important to you. We will see what we can get from your clothes, and give them to the authorities.

[mjenn52]

Answer to Question 1

2
Rationale 1: The risk of miscarriage is greater in the first trimester.
Rationale 2: Early in the second trimester, the risk of spontaneous abortion and early labor is lower, and the fetus is not so large that it might interfere with the abdominal field.
Rationale 3: A fetus close to term is so large that it might interfere with the abdominal field.
Rationale 4: There is always a risk, but it is greater in the first and third trimesters.

Answer to Question 2

4
Explanation: 4. This is the correct statement. This is not the time to tell her what she did wrong, as she is psychologically upset. The ability to collect evidence that is comprehensive, appropriate, and reliable contributes to successful prosecution of perpetrators of sexual assault.