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
Elevated levels of MSAFP may indicate that the baby is at risk of a neural tube defect, like spina bifida.
However, further testing is required to confirm the results and determine the cause of the elevated levels.
Choice A is incorrect because low levels of MSAFP may indicate a risk for Down syndrome, not elevated levels.
Choice B is incorrect because while elevated levels of MSAFP may indicate a risk for neural tube defects, further testing is required to confirm this.
Choice D is incorrect because while repeating the test may be necessary, further testing beyond just repeating the MSAFP screening may also be required.
Correct Answer is B
Explanation
A. Lateral incisors are present:At 6 months, infants typically begin teething, but the lateral incisors usually do not appear until around 9 to 13 months. The first teeth to emerge are usually the lower central incisors.
B. Posterior fontanel is closed:The posterior fontanel, or the soft spot at the back of the baby's head, typically closes by 2 to 3 months of age. Therefore, it is expected to be closed by the time the infant is 6 months old.
C. Infant's birth weight is tripled:By 6 months, infants generally double their birth weight. Tripling of birth weight is more commonly expected by the end of the first year.
D. Infant sits well without support:Most infants begin to sit without support around 7 to 9 months. At 6 months, they may sit with some support but are not yet expected to sit well independently.
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