A nurse is caring for a client who is at 20 weeks of gestation and tells the nurse that she is concerned that exercising might pose risks to her pregnancy.
Which of the following statements should the nurse make?
Be careful about exercises that include stretching.
It's a good idea to increase your weight-bearing exercises.
Moderate exercise can help improve your circulation.
You should rest for 5 minutes following exercise.
The Correct Answer is C
Choice A rationale:
While stretching is generally safe during pregnancy, it's essential to do it gently and avoid overstretching. Overstretching can potentially lead to injuries or joint problems, as ligaments are naturally more relaxed during pregnancy due to hormonal changes. Therefore, advising caution with stretching exercises is not the most encouraging or informative response to address the client's concerns about exercise.
Choice B rationale:
Increasing weight-bearing exercises is not specifically recommended during pregnancy. While some weight-bearing exercises can be beneficial, such as walking or low-impact aerobics, it's crucial to prioritize low-impact activities that don't put excessive strain on the joints and ligaments. Excessive weight-bearing exercises can potentially lead to discomfort, fatigue, or even injury.
Choice C rationale:
This is the most appropriate response because it accurately highlights the benefits of moderate exercise during pregnancy. Regular physical activity can significantly improve circulation, which is essential for both the mother and the developing fetus. Improved circulation enhances oxygen and nutrient delivery to the fetus, promotes waste removal, and can help reduce swelling and discomfort in the mother's legs and feet.
Choice D rationale:
While resting for a few minutes after exercise is generally a good practice, it's not the most significant aspect to emphasize when addressing the client's concerns. Emphasizing the benefits of exercise itself is more likely to encourage the client to engage in physical activity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale for Choice A:
An IV is not routinely initiated prior to a non-stress test. It may be started if a biophysical profile (BPP), which includes an ultrasound, is also being performed, or if there is a risk of complications that may necessitate immediate intervention. However, it is not a standard part of the non-stress test itself.
Rationale for Choice B:
Nipple stimulation is not a standard component of a non-stress test. It may be used in some cases to try to induce fetal movement if the fetus is not moving actively enough during the test. However, it is not a routine part of the procedure.
Rationale for Choice C:
An ultrasound is not typically performed prior to a non-stress test. It may be done as part of a BPP, but it is not necessary for the non-stress test itself.
Rationale for Choice D:
An external fetal monitor is essential for conducting a non-stress test. This monitor uses two belts that are placed around the mother's abdomen. One belt measures the fetal heart rate, and the other belt measures uterine contractions. The monitor records the fetal heart rate and any contractions for a period of 20 to 40 minutes. The test is considered reactive (normal) if the fetal heart rate increases by at least 15 beats per minute for at least 15 seconds twice during the test. This acceleration in heart rate is typically in response to fetal movement.
Correct Answer is B
Explanation
Choice A:
Applying ice to the perineal area is not a recommended intervention for suspected placenta previa. While ice can help reduce swelling and pain in some cases, it does not address the underlying concern of potential placental bleeding.
Focusing on external monitoring for fetal well-being and avoiding any actions that could disrupt the placenta are the priorities in this situation.
Choice C:
Completing a vaginal exam is contraindicated in suspected placenta previa. Inserting fingers into the vagina can disrupt the placenta and potentially cause heavy bleeding, increasing the risk of preterm labor, fetal distress, or maternal hemorrhage. Non-invasive assessment methods are crucial to protect the placenta and prevent complications.
Choice D:
Performing a rectal exam is also not indicated for suspected placenta previa. It does not provide information about the placental position and could potentially stimulate contractions, which are undesirable in this situation.
External fetal monitoring is a safer and more informative approach.
Choice B:
Applying an external fetal monitor is the most appropriate action for a nurse caring for a client with suspected placenta previa. It allows for continuous assessment of fetal heart rate and activity, which can help detect any signs of fetal distress or placental abruption.
It is a non-invasive method that does not carry the risks associated with vaginal or rectal exams.
Early identification of any fetal compromise can lead to prompt interventions to ensure the best possible outcomes for both mother and baby.
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