A gravida II para I client who is at 40 weeks' gestation states, ...

[mmm]

A gravida II para I client who is at 40 weeks' gestation states, I don't think I'm ready for labor. Last time, I experienced lightening' 2 weeks before now. Which of these responses should the nurse make?
 
  a. Lightening is an unpredictable sign of impending labor.
  b. Lightening may not occur in a multigravida until labor has started.
  c. You may be correct. It always occurs about 2 weeks before labor begins.
  d. You must have miscalculated your due date.

Question 2

The nurse contrasts the use of ultrasound and four-dimensional ultrasound for the client by identifying that four-dimensional ultrasound does which of the following? (Select all that apply.)
 
  a. provides improved visualization of fetus
  b. images are shown in rapid succession
  c. identifies uterine contractions
  d. identifies intrauterine mental retardation

[Melissahxx]

Answer to Question 1

B
Lightening is the descent of the fetus into the pelvis. Lightening may cause leg cramps, increased urinary frequency, and edema of the lower extremities. Lightening may not occur in a multigravida until labor has started.

Answer to Question 2

A, B
The use of four-dimensional ultrasound provides improved visualization of fetal structure where realistic images are shown in rapid succession much like a movie and promotes parental bonding.

[mmm]

Excellent

[yeungji]

Gracias!