The nurse in a health care clinic is instructing a pregnant client how to perform "kick counts." Which statement by the client indicates a need for further instruction?

A. "I need to lie flat on my back to perform the procedure." Lying flat on the back can cause supine hypotension syndrome due to compression of the inferior vena cava. The client should lie on her left side or sit in a comfortable position to improve placental circulation.

B. “If I count fewer than 10 kicks in a 2-hour period, I would count the kicks again over the next 2 hours." If fewer than 10 movements are felt in 2 hours, the client should rest, eat, and try counting again. If movements remain low, she should contact her provider.

C. "I need to place my hands on the largest part of my abdomen and concentrate on the fetal movements to count the kicks." Placing hands on the abdomen helps the client feel subtle fetal movements.

D. “I will record the number of movements or kicks." Keeping a record of fetal movements helps monitor fetal well-being.

A. Intravenous (IV) therapy to correct fluid and electrolyte imbalances: The primary concern in hyperemesis gravidarum is dehydration and electrolyte imbalances due to excessive vomiting. IV fluids are the first-line treatment to restore hydration and correct any imbalances.

B. Enteral nutrition to correct nutritional deficits: Enteral nutrition is considered if the client cannot tolerate oral intake after initial IV therapy, but it is not the first-line treatment.

C. Corticosteroids to reduce inflammation: Corticosteroids are not typically used for hyperemesis gravidarum. They may be considered in severe, refractory cases, but they are not part of the initial treatment.

D. Antiemetic medication, such as pyridoxine, to control nausea and vomiting: Although pyridoxine (vitamin B6) and antiemetics are commonly used to manage nausea, the initial priority is rehydration and correction of electrolyte imbalances before initiating oral medications.