Question

A pregnant client is seen in the health care clinic for a regular prenatal visit. The client tells the nurse that she is experiencing irregular contractions. The nurse determines that the client is experiencing Braxton Hicks contractions. Based on this finding, which nursing action is appropriate?

a. Contact the health care provider
b. Instruct the client to maintain bedrest for the remainder of the pregnancy
c. Tell the client that these are common and they may occur throughout the pregnancy
d. Call the maternity unit and inform them that the client will be admitted in a prelabor condition.

Answer 1

The nurse should reassure the pregnant client that Braxton Hicks contractions are common, they do not indicate immediate labor onset, and can occur throughout the pregnancy.

Step-by-step explanation:

When a pregnant client reports experiencing irregular contractions at a regular prenatal visit, a nurse determines they are experiencing Braxton Hicks contractions. These contractions are common and may occur throughout pregnancy. They are often called false labor because they do not indicate that true labor is imminent. True labor is characterized by regular contractions that become more frequent and powerful over time and help to dilate the cervix. Braxton Hicks contractions can often be relieved with rest or hydration and do not lead to cervical dilation. Therefore, the appropriate nursing action in this scenario would be to reassure the client that these contractions are common and may occur until true labor begins.