Moderate

A pregnant woman at 30 weeks reports intense itching, especially on her palms and soles, without a primary skin rash. Which complication should the nurse suspect?

Correct answer: A. Intrahepatic cholestasis of pregnancy

  • A. Intrahepatic cholestasis of pregnancy
  • B. Atopic dermatitis of pregnancy
  • C. Impetigo of pregnancy
  • D. Contact dermatitis from clothing

Explanation

Intrahepatic cholestasis of pregnancy commonly causes severe pruritus on the palms and soles without a primary rash and may increase fetal risk. A visible local rash would make dermatitis or another skin disorder more likely.

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About Complications of Pregnancy

Pregnancy complications include hyperemesis gravidarum, anaemia, ectopic pregnancy, miscarriage, antepartum haemorrhage, hypertensive disorders, gestational diabetes, infections and disorders of fetal growth. Questions focus on characteristic signs, risk factors, investigations, maternal and fetal effects, and nursing care, while acute life-threatening treatment belongs under obstetric emergencies.

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