A client 32 weeks pregnant complains of backache. Which statement best explains the reason for backache in pregnancy?
a. "Posture changes caused by your enlarging abdomen cause discomfort."
b. "You have been working too hard. Try to rest more."
c. "You need more exercise to strengthen the muscles."
d. "Your age causes a natural backache that you will have to tolerate."
A
Back pain is a normal discomfort of pregnancy that increases with the increasing size of the uterus exerting pressure, especially on the lumbar spine. Work may aggravate the back pain, depending on the type of work the woman performs; however, this is not the physiologic reason for back pain of pregnancy. Exercise is good for the pregnant woman, but walking can aggravate the back pain. Stating that the client's age causes backache is a false and very nontherapeutic response.
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