Physiological AdaptationQuestion 1008 of 2368
A client at 35 weeks of gestation reports intense itching that began on the palms and soles. Which action should the nurse take?
- Teach the client to use cool baths because itching is expected in late pregnancy.
- Recommend scented lotion and tell the client to avoid scratching.
- Document the finding and reassess at the next routine visit.
- Report the finding to the provider because it may be cholestasis of pregnancy.
Show answer
Correct answer: Report the finding to the provider because it may be cholestasis of pregnancy.
Intense itching starting on the palms and soles can signal cholestasis of pregnancy, which can cause sudden fetal death. It needs provider follow-up.
Source: Nursing Health Promotion (Open RN, Chippewa Valley Technical College, 2025), Antepartum Care: Gastrointestinal System Changes During Pregnancy. Licensed under CC BY 4.0.
Practice the topic "Physiological Adaptation"Questions last reviewed: 18 October 2026