A nurse is caring for a client who is in preterm labor at 32 weeks of gestation. The client asks the nurse. "Will my baby be okay?" Which of the following responses should the nurse offer?

A) Have the client ambulate:
Encouraging the client to ambulate is important for preventing thromboembolic complications such as deep vein thrombosis (DVT) and pulmonary embolism (PE). Early ambulation promotes venous return, reduces stasis, and decreases the risk of blood clots forming in the lower extremities. However, the nurse should ensure the client's safety and provide assistance as needed.

B) Apply warm, moist heat to the client's lower extremities:
While warm, moist heat can provide comfort, it is not the priority intervention for a client with a history of thromboembolic disease. In fact, heat application could potentially increase blood flow to the lower extremities, which may exacerbate the risk of thrombosis in this client population.

C) Place pillows under the client's knees when resting in bed:
Placing pillows under the client's knees can help alleviate pressure on the lower back and enhance comfort, but it does not directly address the prevention of thromboembolic complications in a client with a history of thromboembolic disease.

D) Massage the client's posterior lower legs:
Massaging the client's posterior lower legs is contraindicated in individuals with a history of thromboembolic disease, as it can potentially dislodge blood clots and lead to embolism. This intervention could increase the risk of thromboembolic events rather than prevent them.

A. Pattern of contractions: While the pattern of contractions is an essential aspect of labor, it alone does not confirm whether the client is experiencing true labor. True labor contractions are typically regular, become stronger over time, and occur at shorter intervals.

B. Rupture of the membranes: Rupture of membranes, also known as the water breaking, can occur in both true and false labor. However, it is not the defining factor in distinguishing true labor.

C. Changes in the cervix: Changes in the cervix, such as cervical dilation and effacement, are indicative of true labor. Cervical dilation and effacement occur progressively during true labor, suggesting that the body is preparing for the birth of the baby.

D. Station of the presenting part: The station of the presenting part refers to the level of the fetal head in the pelvis and is an important aspect of labor progress. However, it alone does not confirm whether the client is experiencing true labor.