What should the nurse do if a second-trimester pregnant client reports abdominal pain?

• A. Tell the client to rest
• B. Advise immediate medical evaluation
• C. Suggest using over-the-counter pain relief
• D. Encourage less activity

Answer: (B)

When a second-trimester pregnant client reports abdominal pain, advising immediate medical evaluation is crucial. Abdominal pain during pregnancy can have various causes, some of which may indicate serious conditions such as ectopic pregnancy, placental abruption, or preterm labor. These conditions require prompt assessment by a medical professional to ensure the safety of both the mother and the developing fetus.

Additionally, pain that arises in the second trimester may not be typical and could signify complications that need to be addressed quickly. Prioritizing immediate medical evaluation ensures that any potentially serious issues are investigated, and appropriate interventions are implemented.

While rest, activity reduction, or over-the-counter pain relief might seem like reasonable suggestions in certain circumstances, they do not address the underlying concern or ensure the health and safety of the mother and fetus. Early medical assessment is essential to rule out any significant problems and guide appropriate care.