Certified Neuroscience Registered Nurse (CNRN) Practice Exam

What are the best treatment options for a woman in her third trimester of pregnancy showing positive Tinel's and Phalen's signs?

1. Wrist splints and rehabilitation modalities

2. Immediate surgical intervention

3. Medication for inflammation

4. Physical therapy only

The correct answer is: Wrist splints and rehabilitation modalities

The best treatment options for a woman in her third trimester of pregnancy who demonstrates positive Tinel's and Phalen's signs, indicative of carpal tunnel syndrome, would include wrist splints and rehabilitation modalities. During pregnancy, it's crucial to approach treatment with caution, considering both the health of the mother and the developing fetus. Wrist splints are useful in immobilizing the wrist, reducing pressure on the median nerve, and alleviating symptoms associated with carpal tunnel syndrome. This conservative management strategy is effective for managing symptoms while avoiding more invasive procedures or strong medications that could affect fetal health. Rehabilitation modalities, which may include exercises and ergonomic modifications, can help to alleviate stress on the wrist and improve overall function. This approach prioritizes both symptom relief and the preservation of the mother’s mobility and comfort during her pregnancy. While other options, such as immediate surgical intervention, are sometimes warranted in severe cases of carpal tunnel syndrome, they are usually not ideal during pregnancy due to the potential risks associated with surgery and anesthesia. Additionally, medications for inflammation, particularly corticosteroids or strong anti-inflammatories, may pose risks to the fetus and are typically avoided if possible. Physical therapy alone may not provide the necessary support without the use of splints, making