CNM Certified Nurse Midwife

Answer: D - Increased amounts of vaginal discharge are commonly reported when lightening has occurred. Lightening may occur 10 to 14 days before labor. The client may report relief from diaphragmatic pressure and shortness of breath as the uterus becomes lower and more anterior. Although the client may report relief, the abdominal pressure increases, resulting in increased urinary frequency, shooting leg pains and increased amounts of vaginal discharge.