The primiparous patient 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?
A)"You shouldn't work so much at this point in pregnancy."
B)"What you are describing is not commonly experienced in the last weeks."
C)"Your body may be telling you it is going into labor soon."
D)"If the bladder pressure continues, come in to the clinic tomorrow."

Question

Quizplus · Accepted Answer

The nurse should educate the patient that the symptoms she is experiencing may indicate that her body is preparing for labor. With increased bladder pressure and mild contractions, it is possible that the patient is beginning to dilate and efface. The patient's nesting behavior by cleaning the entire house could also be a sign that labor is imminent. It is important for the patient to be aware of these signs and symptoms and to contact the clinic if there are any concerns or if the contractions become more regular or intense. Option A is not a helpful response, as it does not address the patient's concerns or provide any guidance. Option B is incorrect, as the symptoms described are commonly experienced in the last weeks of pregnancy. Option D is not the best choice, as bladder pressure is a common symptom at this stage of pregnancy, and waiting until tomorrow to come in to the clinic may delay any necessary interventions.

The Primiparous Patient at 39 Weeks' Gestation Calls the Clinic