Because pregnant women may need surgery during pregnancy, nurses ...

[yoooooman]

Because pregnant women may need surgery during pregnancy, nurses should be aware that:
 
  a. The diagnosis of appendicitis may be difficult because the normal signs and symptoms mimic some normal changes in pregnancy.
  b. Rupture of the appendix is less likely in pregnant women because of the close monitoring.
  c. Surgery for intestinal obstructions should be delayed as long as possible because it usually affects the pregnancy.
  d. When pregnancy takes over, a woman is less likely to have ovarian problems that require invasive responses.

Question 2

What laboratory marker is indicative of disseminated intravascular coagulation (DIC)?
 
  a. Bleeding time of 10 minutes c. Thrombocytopenia
  b. Presence of fibrin split products d. Hyperfibrinogenemia

[b614102004]

Answer to Question 1

ANS: A
Both appendicitis and pregnancy are linked with nausea, vomiting, and increased white blood cell count. Rupture of the appendix is two to three times more likely in pregnant women. Surgery to remove obstructions should be done right away. It usually does not affect the pregnancy. Pregnancy predisposes a woman to ovarian problems.

Answer to Question 2

ANS: B
Degradation of fibrin leads to the accumulation of fibrin split products in the blood. Bleeding time in DIC is normal. Low platelets may occur with but are not indicative of DIC because they may result from other coagulopathies. Hypofibrinogenemia would occur with DIC.

[yoooooman]

Excellent

[aruss1303]

Gracias!