The AGACNP knows that which of the following must be evaluated as a cause of her abdominal pain?

Correct Answer: C

Rationale: Abdominal pain in pregnancy can be caused by various conditions, but spontaneous hepatic rupture is a rare but life-threatening cause that must be ruled out. Spontaneous hepatic rupture, also known as liver rupture, can occur in pregnancy, though it is extremely rare. It is associated with severe abdominal pain, hypovolemic shock, and can lead to significant maternal and fetal morbidity and mortality. Therefore, the AGACNP should evaluate this possibility when assessing a pregnant patient with abdominal pain to provide timely and appropriate management.HELLP syndrome, placental abruption, and preterm labor are important considerations in the differential diagnosis of abdominal pain in pregnancy but are not specific to the life-threatening nature of spontaneous hepatic rupture.

Correct Answer: A

Rationale: Hematuria (blood in the urine) is a common associated finding in ureteral colic. The presence of blood in the urine suggests that there may be damage or irritation to the urinary tract, typically caused by the passage of a kidney stone through the ureter. Along with the sharp, colicky pain in the right lower quadrant, the presence of hematuria significantly raises the suspicion for ureteral colic.

Correct Answer: B

Rationale: Occipito-posterior position occurs when the baby faces the mother's back with the head down.

Correct Answer: C

Rationale: Marginal cephalopelvic disproportion can often be managed in labor without the need for a cesarean.

Correct Answer: A

Rationale: Oligohydramnios can result from fetal kidney problems, leading to lack of urine production.