The primiparous client at 39 weeks' gestation calls the clinic and reports increased bladder pressure but easier breathing and irregular, mild contractions. She also states that she just cleaned the entire house. Which statement should the nurse make?
1. "You should not work so much at this point in pregnancy."
2. "Your body may be telling you it is going into labor soon."
3. "If the bladder pressure continues, come in to the clinic tomorrow."
4. "What you are describing is not commonly experienced in the last weeks."
2
Explanation:
1. There is no indication that the client should decrease her work schedule.
2. One of the premonitory signs of labor includes lightening: The baby drops lower into the pelvis, which creates increased pelvic and bladder pressure but less pressure on the diaphragm, which makes breathing easier.
3. Lightening does not indicate pathology, and therefore there is no need to come to the clinic if the symptoms continue.
4. Lightening is a common and expected finding.
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