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Chapter 11: Problem 6

When a pregnant woman says to the nurse, "I bought some cream to try and bleach this brown line on my stomach" the best response by the nurse would be: 1\. "That line is called striae gravidarum and is normal in pregnancy." 2\. "The cream will have no effect on the brown line and may hurt your baby." 3\. "That line is called melasma and will disappear on it's own after the baby is born." 4\. "One of the skin changes in pregnancy can be a brown line down your abdomen and is normal."

Short Answer

Expert verified
Response 4 is correct, as it acknowledges the linea nigra as a normal skin change in pregnancy.

Step by step solution

01

Understand the Question

The question presents a scenario where a pregnant woman is trying to bleach a brown line on her stomach and asks for the best response a nurse should give. You need to determine which response option provides the most accurate information regarding this line.
02

Recognize the Brown Line

The brown line referred to is likely the 'linea nigra', which is a common skin change during pregnancy, characterized by a dark vertical line appearing on the abdomen. This is a normal pigmentation change and typically fades after pregnancy.
03

Analyze Response Options

Let's evaluate each response: 1. "That line is called striae gravidarum and is normal in pregnancy." - Incorrect, as striae gravidarum refers to stretch marks, not the linea nigra. 2. "The cream will have no effect on the brown line and may hurt your baby." - While creams may not affect the line, mentioning harm to the baby without specifying the cream might not be accurate or helpful. 3. "That line is called melasma and will disappear on its own after the baby is born." - Incorrect, since melasma refers to facial pigmentation changes, not the linea nigra. 4. "One of the skin changes in pregnancy can be a brown line down your abdomen and is normal." - Correct, as it acknowledges the normalcy of the line without incorrect terms or warnings.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Pregnancy Skin Changes
During pregnancy, a woman's body undergoes a variety of changes, including several that occur with the skin. Some of these changes are due to hormonal fluctuations that affect skin pigmentation and elasticity. Common skin changes include:
  • Line nigra: A dark vertical line that appears on the abdomen.
  • Melasma: Often called "the mask of pregnancy," characterized by brown patches on the face.
  • Striae gravidarum: Known as stretch marks, these are red, purple, or silvery streaks on the skin.
  • Spider nevi and palmar erythema: Small red spots and redness of the palms that can also occur.
Pregnant individuals should know that these changes are normal. They often fade or disappear after childbirth. It's important to keep the skin moisturized and to use sunscreen to protect against UV exposure. This can help reduce the intensity of some changes, like melasma.
Linea Nigra
The linea nigra is a common and normal skin change that occurs during pregnancy. It manifests as a dark line that runs vertically across the abdomen. This line is due to an increase in hormones that cause hyperpigmentation.

Most pregnant women will notice it around the second trimester. Important things to remember about linea nigra include:
  • It is harmless and does not affect the health of the mother or baby.
  • The line typically fades postpartum within a few months.
  • No creams or treatments are necessary, and attempting to bleach or otherwise alter it can be ineffective.
In patient communication, it's crucial to reassure expecting mothers that this is a normal part of pregnancy. Educating them on why it occurs helps alleviate worries.
Nursing Assessment
Nursing assessment during pregnancy includes a thorough evaluation of the physical changes a patient might experience. For skin changes like the linea nigra, nurses play a key role in monitoring and providing information.

While assessing skin changes, nurses:
  • Observe any new marks or pigmentation changes.
  • Evaluate any concerns expressed by the patient.
  • Provide accurate information about common, normal changes.
The nurse should use patient-friendly language and ensure that any information shared is factual. This helps in building trust and reducing any anxiety related to skin changes.
Patient Communication
Effective communication with patients during pregnancy ensures they feel supported and informed about their health. Nurses should approach the topic of skin changes with sensitivity and clarity.

Key aspects of good patient communication include:
  • Listening to the patient's concerns and questions.
  • Providing clear, accurate, and reassuring information about skin changes like linea nigra.
  • Using simple language to explain that these changes are common and temporary.
  • Encouraging practices like proper skincare and sun protection.
A nurse's compassionate approach can ease fears and ensure the patient understands her body's changes. Building rapport and trust is essential in promoting positive healthcare experiences during pregnancy.

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