A 38-week pregnant client is complaining of lower back pain. The nurse notes a slight lordosis and waddling gait in the client. The nurse would correctly choose which of the following actions in this situation?
1. Suggest the client begin bed rest.
2. Notify the healthcare provider of the findings.
3. Document the findings as normal.
4. Ask the client if she has been lifting.
3
Rationale 1: Lordosis, exaggeration of the lumbar spinal curve, and a waddling gait are the result of compensation for the enlarging fetus. The woman's center of gravity shifts forward, and her weight shifts farther back on the lower extremities, causing lower back pain. These are all normal findings during the later stages of pregnancy and do not require bed rest.
Rationale 2: Lordosis, exaggeration of the lumbar spinal curve, and a waddling gait are the result of compensation for the enlarging fetus. The woman's center of gravity shifts forward, and her weight shifts farther back on the lower extremities, causing lower back pain. These are all normal findings during the later stages of pregnancy and do not require notification of the healthcare provider.
Rationale 3: Lordosis, exaggeration of the lumbar spinal curve, and a waddling gait are the result of compensation for the enlarging fetus. The woman's center of gravity shifts forward, and her weight shifts farther back on the lower extremities, causing lower back pain. These are all normal findings during the later stages of pregnancy. The nurse should document these findings as normal.
Rationale 4: Lordosis, exaggeration of the lumbar spinal curve, and a waddling gait are the result of compensation for the enlarging fetus. The woman's center of gravity shifts forward, and her weight shifts farther back on the lower extremities, causing lower back pain. These are all normal findings during the late stages of pregnancy and are not the result of lifting.
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