Among the following, the event during pregnancy that requires immediate attention by the physician is:

Appeared in: AIIMS BHOPAL NO- 2018( Shift-2nd)

Explanation

Bleeding per vagina during pregnancy is a major danger sign, often indicating a risk of Antepartum Hemorrhage (APH).
It can be caused by life-threatening conditions for both mother and fetus, such as placenta previa, abruptio placentae, or ectopic pregnancy.
Unlike common discomforts, any amount of vaginal bleeding requires immediate evaluation by a physician to rule out serious complications.

Option A: Backache is a common musculoskeletal issue in pregnancy due to hormonal changes and a shifting center of gravity. It is considered a minor disorder managed with conservative measures.
Option B: Increased urinary frequency is a normal physiological change in the first and third trimesters due to hormonal effects and pressure from the enlarging uterus on the bladder.
Option C: Mild ankle swelling (dependent edema) is a common minor disorder in late pregnancy caused by fluid retention and impaired venous return from the pressure of the gravid uterus.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Differentiating between minor disorders and danger signs of pregnancy as background academic context rather than a clinical decision trigger.
Nurses play a crucial role in educating pregnant women to recognize and report danger signs immediately. This education is a key component of antenatal care.
A nurse receiving a call about vaginal bleeding must instruct the patient to come to the hospital immediately and prepare for an emergency assessment upon arrival.
What if? If the dependent pedal edema was accompanied by a blood pressure reading of 150/100 mmHg and proteinuria, it would no longer be a minor disorder but a sign of severe preeclampsia, requiring immediate medical attention.

How to Approach the Question

First, read the question carefully, noting the keywords 'immediate attention'.
This directs you to identify the most serious or life-threatening condition among the options.
Evaluate each option to determine if it's a normal physiological change/minor discomfort or a recognized 'danger sign' of pregnancy.
Recall that backache, urinary frequency, and mild pedal edema are common and expected discomforts.
Recognize that vaginal bleeding is a classic danger sign indicating potential hemorrhage, which is an obstetric emergency.
Select the option that represents the highest risk to the mother and fetus.

Concept Tested & Keywords

Concept Tested: Differentiating between minor disorders and danger signs of pregnancy.
Stem keywords: pregnancy, event, immediate attention, physician
Lead-in keywords: immediate attention
Negative lead-in flag: false

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E6 Midwifery Obstetrics and Gynecology Nursing Sandeep Kaur p. 65-80

Practise the full AIIMS BHOPAL NO- 2018( Shift-2nd)

Attempt every question from this paper in a timed mock, then review the full solution for each one.