A nurse is talking with a client who is at 21 weeks of gestation and is scheduled for an international flight. Which of the following instructions should the nurse include? (Select all that apply.)
Avoid sitting for long periods of time during the flight to prevent swelling and discomfort.
Wear compression stockings during the flight to prevent blood clots.
Avoid using seat belts during the flight to prevent pressure on the abdomen.
Take frequent walks and do leg exercises during the flight to promote circulation.
Avoid using electronic devices during the flight to reduce radiation exposure. Take a high dose of vitamin C before the flight to boost the immune system.
Correct Answer : A,B,D
A. Avoid sitting for long periods of time during the flight to prevent swelling and discomfort. – Correct; prolonged sitting can increase the risk of swelling and deep vein thrombosis (DVT).
B. Wear compression stockings during the flight to prevent blood clots. – Correct; compression stockings help improve circulation and reduce the risk of DVT.
C. Avoid using seat belts during the flight to prevent pressure on the abdomen. – Incorrect; seat belts should be worn low, across the hips, for safety.
D. Take frequent walks and do leg exercises during the flight to promote circulation. – Correct; movement reduces the risk of blood clots and swelling.
E. Avoid using electronic devices during the flight to reduce radiation exposure. Take a high dose of vitamin C before the flight to boost the immune system. – Incorrect; radiation exposure from electronic devices is negligible, and there is no evidence that high doses of vitamin C prevent illness during flights.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Hypnosis, imagery, and slow chest breathing – Incorrect; while these techniques can help with general labor pain, they may not be effective for severe back pain due to fetal positioning.
B. Comfort measures, intermittent labor support by the nurse, and reassurance that the pain is temporary – Incorrect; while support is important, it does not directly relieve back pain.
C. Effleurage, ambulation, and frequent position changes – Incorrect; these may help, but they do not directly address back labor.
D. Counterpressure with a fist or tennis ball to the lower back – Correct; back labor is often caused by occiput posterior fetal positioning, and counterpressure helps relieve pain by applying direct pressure to the sacrum.
Correct Answer is A
Explanation
A. Quickening – Correct; the first sensation of fetal movement, typically felt between 16-20 weeks of gestation.
B. Ballottement – Incorrect; this refers to a physical examination finding where the fetus rebounds when the cervix is tapped.
C. Lightening – Incorrect; this occurs later in pregnancy when the fetus drops into the pelvis before labor.
D. Nesting – Incorrect; this describes a surge of energy before labor, not fetal movement.
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