A client in her third trimester reports sleeping poorly: sleeping on her back results in lightheadedness and dizziness and lying on her side results in no sleep.
Which suggestion for sleeping should the nurse prioritize for this client?
with a pillow under her right hip.
Without a pillow.
With a pillow under her shoulders.
with a pillow under both hips.
The Correct Answer is A
This is a variation of the side-lying position, which is recommended for pregnant women in the third trimester to improve blood flow to the uterus and the baby12.
Sleeping on the right side with a pillow under the hip can also help relieve pressure on the inferior vena cava, a large vein that carries blood from the lower body to the heart.
Sleeping on the back can cause lightheadedness and dizziness because of this pressure, as well as increase the risk of stillbirth1.
Choice B.
Without a pillow is incorrect, as this can make sleeping on the side uncomfortable and cause back pain or leg cramps.
Choice C.
with a pillow under her shoulders is incorrect, as this can elevate the upper body and worsen heartburn, a common problem in pregnancy.
Choice D.
with a pillow under both hips is incorrect, as this can make sleeping on the back more likely, which is not advised for pregnant women in the third trimester1.
Therefore, choice A is the best answer.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
ADHD primarily causes symptoms related to inattention, hyperactivity-impulsivity, or a combination of both.
With ADHD, someone may experience difficulties paying attention and staying organized.
Choice A is not correct because difficulty in acquiring reading skills is not a specific symptom of ADHD.
Choice B is not correct because difficulty using words in context is not a specific symptom of ADHD.
Choice D is not correct because difficulty performing self-grooming activities is not a specific symptom of ADHD.
Correct Answer is C
Explanation
The purpose of administering vitamin K to a newborn following delivery is to prevent bleeding.
Vitamin K helps blood to clot and is essential in preventing serious bleeding in infants.
Choice A is not an answer because administering vitamin K does not prevent infection.
Choice B is not an answer because administering vitamin K does not prevent potassium deficiency.
Choice D is not an answer because administering vitamin K does not prevent hyperbilirubinemia.
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