A primigravida calls the labor and delivery unit and tells the nurse that she is 39 weeks pregnant and that over the last 4 or 5 days, she has noticed that although her breathing has become easier, she is having leg cramps, a slight amount of
edema in her lower legs, and an increased amount of vaginal secretions. The nurse tells the patient that she has experienced what is commonly called: 1. Quickening.
2. Lightening.
3. Dilation.
4. Braxton Hicks contractions.
2
Rationale 1: Quickening is the first fetal movement the mother feels.
Rationale 2: Lightening describes the effect occurring when the fetus begins to settle into the pelvic inlet.
Rationale 3: Dilation describes the increase in size of the cervical os.
Rationale 4: Braxton Hicks contractions occur before the onset of labor.
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