A primigravida who is 2 weeks away from her delivery date tells the obstetrical nurse that she feels like "the baby has dropped." What would be the nurse's best response to this client?
A) "This feeling may be a sign that there is a complication with your pregnancy."
B) "This feeling is called lightening and means that the fetus has settled into the pelvis."
C) "This is a normal feeling at this stage and it is called 'Braxton-Hicks' contractions."
D) "This is a normal feeling called lightening signaling that labor has begun."
B
Feedback:
Lightening is the settling of the fetus into the pelvis. Lay people often say, "the baby has dropped." Lightening usually occurs 2 to 3 weeks before the onset of labor in primigravidas (women having their first child). During pregnancy's late stages, the uterine muscles prepare for labor and delivery by tightening and relaxing at intervals. These contractions, called Braxton-Hicks contractions, are usually painless, short, and irregular.
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