A few weeks before labor, the client may experience subtle signs that indicate the onset of labor. One of these signs is lightening. The midwife teaches the client to recognize the signs of lightening. Which of the following is not a sign of lightening?
  1. Relief from diaphragmatic pressure and shortness of breath.
  2. Abdominal contour changes.
  3. Increased urinary frequency.
  4. Decreased amounts of vaginal discharge.
Explanation
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.
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