What is the most helpful suggestion for a primigravid client at 37 weeks gestation experiencing leg cramps?

For a primigravid client at 37 weeks gestation experiencing leg cramps, the suggestion to straighten the knee and flex the toes toward the chin is particularly beneficial. This action directly addresses the muscle cramping that often occurs in the legs; by extending the knee and positioning the toes toward the chin, it stretches the calf muscles, which can help alleviate the cramp.

Leg cramps during pregnancy are common and can be caused by various factors, including changes in circulation, increased weight, or electrolyte imbalances. The act of flexing the toes towards the chin counteracts the muscle contraction that leads to cramping and can provide immediate relief.

In contrast to other suggestions, such as changing positions frequently, alternating flexing and extending the legs, or lying prone with legs elevated, these options do not specifically target the relief of acute leg cramps as effectively as the action of flexing the toes. While they might have general benefits, they are not as focused or immediate in resolving the discomfort caused by cramps. Therefore, the most effective strategy for the client experiencing this issue is indeed to straighten the knee and flex the toes toward the chin, which directly addresses the contraction of the muscles involved.