Author Question: The obstetrician performed a vaginal examination on a client in her third trimester and gave a ... (Read 35 times)

dmcintosh · **on:** Jul 22, 2018

The obstetrician performed a vaginal examination on a client in her third trimester and gave a sudden push on the cervix. Later, the client asks the nurse what the procedure was and why it was done.

The MOST appropriate response from the nurse would be: a. ballottement (fetal rebound) c. lightening (uterine reflex)
b. Braxton Hicks (contractions) d. quickening (fetal movement)

Question 2

At her 36 weeks' gestation prenatal visit, a client complains of backaches and an unstable sensation in the pelvis. The nurse should explain to the client that these are normal discomforts of pregnancy primarily due to:

a. depletion of calcium from maternal bones to supply fetal skeletal development
b. engagement of the fetus in the pelvis
c. softening of the pelvic cartilages as a result of hormonal influence
d. posture changes as a result of the growing uterus

smrerig · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
Ballottement is performed by a vaginal examination on a client in the third trimester and checks for fetal rebound by giving a sudden push on the cervix.

Answer to Question 2

D
Musculoskeletal changes also occur. The pregnant client's center of gravity changes, and lordosis causes low backache and a waddling gait. Relaxin causes relaxation of pelvic joints.