Practice Questions ATI
A nurse is teaching a parent of a newborn how to care for the newborn's umbilical cord stump. Which of the following instructions should the nurse include? A. "Cover the cord with the edge of the diaper." B. "Clean the cord stump with tap water." C. "Apply a damp cloth over the cord stump once each day." D. "You should gently tug on the cord stump in 5 days if it has not yet fallen off."
B. "Clean the cord stump with tap water." The nurse should instruct the parent to cleanse around the cord stump with tap water to promote healing and prevent infection.
A nurse is planning care for a client who is positive for HIV. Which of the following actions should the nurse take after the baby is born? A. Encourage the mother to breastfeed B. Administer the hepatitis B vaccine prior to discharge C. Implement contact and droplet precautions when providing care for the infant D. Collect a cord blood specimen to test fr the presence of HIV
B. Administer the hepatitis B vaccine prior to discharge Infants who are exposed to HIV should receive all routine vaccinations. Infants who are infected with HIV can received all inactivated vaccinations.
A nurse is reviewing risk factors for postpartum depression with a newly licensed nurse. Which of the following risk factors should the nurse include? A. Gestational diabetes B. Planned pregnancy C. Being married D. Post-term birth
A. Gestational diabetes Gestational diabetes increases the risk postpartum depression. Other risk factors include infertility treatment, pregnancy complications, preterm birth, and a history of mood disorder.
A nurse is caring for a client who is scheduled to receive a spinal anesthetic. Which of the following actions should the nurse plan to perform? A. Infuse a 500 mL bolus of 0.9% sodium chloride immediately prior to the procedure B. Assess the fetal hear rate pattern for 10 min prior to the procedure C. Position the client upright and erect on the edge of the bed prior to the procedure D. Monitor vital signs every 15 min after the anesthetic is placed.
A. Infuse a 500 mL bolus of 0.9% sodium chloride immediately prior to the procedure The nurse should infuse a fluid bolus of 500 to 1000 mL of 0.9% sodium chloride or located Ringer's 15-30 minutes before the procedure to offset the potential complication of hypotension.
A nurse is assessing a client who is receiving magnesium sulfate as a treatment for pre-eclampsia. Which of the following clinical findings is the nurse's priority? A. Respirations 16/min B. Urinary output 40 mL in 2 hr C. Reflexes +2 D. Fetal heart rate 158/min
B. Urinary output 40 mL in 2 hr Using the urgent vs nonurgent priority-setting framework, the nurse should consider urgent needs to be the priority since the pose more of a threat to the client. As a result, the nurse should report the client's urinary output immediately. Urinary output is critical to the excretion of magnesium from the body. The nurse should discontinue the magnesium sulfate if the hourly output is <30mL/hr. The nurse may also need to use Maslow's hierarchy of needs, the ABC priority-setting framework, and/or nursing knowledge to identify which finding is the most urgent.
A nurse is caring for a client who is receiving magnesium sulfate IV. Which of the following medications should the nurse have available as an antidote to magnesium sulfate? A. Betamethasone B. Terbutaline C. Calcium gluconate D. Indomethacin
C. Calcium gluconate Calcium gluconate should be kept available as the antidote for magnesium sulfate toxicity.
A nurse is caring for a client who states, "I think I am pregnant." Which of the following findings should the nurse identify as a positive sign of pregnancy?" A. Positive serum pregnancy test B. Amenorrhea C. Fatal heart tones auscultated by Doppler D. Chadwick signs
C. Fatal heart tones auscultated by Doppler Fetal heart tones heard by Doppler are a positive sign of pregnancy. The only possible explanation for hearing fetal heart tones is the presence of a fetus.
A nurse is caring for a client who is in labor. A vaginal examination reveals the following findings: 2cm, +1, right occiput anterior (ROA). Based on this information, which of the following fetal positions should the nurse document in the medical record? A. Transverse B. Breech C. Vertex D. Mentum
C. Vertex ROA describes the relationship of the presenting part of the fetus to the client's pelvis. In this case, the occipital bone is the presenting part and is located anteriorly on the client's right side. Based on the prescription of the fetus, the position is vertex.
A nurse is teaching a client during the client's first prenatal visit. Which of the following instructions should the nurse include? A. A nurse is teaching a client during the client's first prenatal visit. Which of the following instructions should the nurse include? A. "A fetal stethoscope can first detect your baby's heart rate at 22 weeks." B. "After week 16, we can see if your baby is a boy or a girl." C."A Doppler device can detect your baby's heart rate at 12 weeks." D. "You will first feel the baby move at about 8 weeks."
C."A Doppler device can detect your baby's heart rate at 12 weeks." The nurse should be able to detect the fetal heartbeat with a Doppler device toward the end of the first trimester, often as early as 10 weeks of gestation.
A nurse is preparing to massage the fundus of a client who is postpartum and experiencing uterine atony. In what order should the nurse take the following actions when performed a fundal massage? A. Position hand around the top of the client's fundus. B. Rotate the upper hand to massage the client's uterus. C. Place a hand just above the client's symphysis pubis D. Ask the client to lie on her back with her knees flexed. E. Use slight downward pressure to compress the client's fundus.
D, C, A, B, E
A nurse is teaching a client who is breastfeeding about strategies for preventing mastitis. Which of the following instructions should the nurse include? A. "Take an herbal galactagogue." B. "Gradually increase the time between feedings." C. "Wear an underwire bra." D. "Use your finger to release suction after feeding."
D. "Use your finger to release suction after feeding." Releasing the newborn's grasp on the nipple with a finger before removing the newborn from the breasts help prevent injury to the nipples, which can lead to mastitis.
A nurse is caring for a client who is at 35 weeks of gestation and is scheduled to undergo an amniocentesis. Which of the following statements should the nurse make? A. "You will have to drink 3-5 *oz glasses of water to fill your bladder." B. "This procedure will not rupture your membranes or cause premature labor." C. "You might feel light pressure during the collection of a blood sample from the baby." D. "You might feel some like discomfort during the procedure."
D. "You might feel some like discomfort during the procedure." During an amniocentesis, the client might feel slight uterine cramping when the needle comes into contact with the uterus. A local anesthetic is applied to the client's skin, so the client should not feel pain when the needle pierces the skin.
A nurse is caring for a newborn immediately following birth. Which of the following actions should the nurse take first? A. Weigh the newborn B. Instill erythromycin ophthalmic ointment in the newborn's eyes C. Administer vitamin K to the newborn D. Dry the newborn
D. Dry the newborn The greatest risk to the newborn immediately after birth is heat loss, which can cause cold stress, respiratory distress, and hypoglycemia. Therefore, the first action the nurse should take is to dry the newborn to prevent heat loss from evaporation
A nurse is providing teaching to the parents of a newborn about how to care for his circumcision at home. Which of hte following instructions should the nurse include in the teaching? A. Apply the diaper tightly over the circumcision area B. Remove the yellow exudate with each diaper change C. Use prepackaged commercial wipes to clean the circumcision site D. Encourage non-nutritive sucking for pain relief.
D. Encourage non-nutritive sucking for pain relief. Allowing the newborn to suck on a pacifier is an effective form of non pharmacological pain management.
A nurse is caring for a client who is in labor. Which of the following methods will determine the frequency of the client's contractions? A. Palpating the firmness of the uterus during a contraction B. Calculating the time from the end of each contraction to the beginning of the next C. Measuring the time from the beginning of a contraction to the end of that same contraction D. Evaluating the time from the beginning of a contraction to the beginning of the next contraction
D. Evaluating the time from the beginning of a contraction to the beginning of the next contraction The method for timing contractions is to measure the time from the beginning of tone contraction to the beginning of the next. That time interval is the frequency of contractions at any given point in time
A nurse is talking with a client during her initial prenatal visit. The client reports a history of trisomy 13 syndrome in her family and is concerned her fetus might be at risk. Which of the following statements should the nurse provide? A. "If you sign an informed consent form, we can perform genetic screening to see if your baby has this disorder." B. "If the genetic screening shows that your baby has this disorder, I can provide you with information about an abortion clinic." C. "Screening for trisomy 14 syndrome and other chromosomal disorders is done automatically for clients at increased risk." D. "I can provide you with information about sterilization so that the disorder is note passed to your future children."
A. "If you sign an informed consent form, we can perform genetic screening to see if your baby has this disorder." Genetic screening has multiple legal and ethical considerations that must be addressed prior to testing. The client will need to sign an informed consent from prior to the screening.
A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following statements should the nurse include? A. "Notify your provider if you notice cracking on your nipples." B. "Notify your provider if you have had a bowel movement within 5 days." C. "Notify you provider if your breasts leak when you shower." D. "Notify your provider if your vaginal discharge is brownish-red color."
A. "Notify your provider if you notice cracking on your nipples." The client should notify the provider of cracking, bleeding, or blistered nipples since this increases the client's risk of infection.
A nurse is providing discharge teaching to the parent of a newborn. Which of the following statements should the nurse include in the teaching? A. "your baby should be rear-facing in a car seat until 2 years of age." B. "Cover your baby with a light blanket during naps." C. "Set your hot water heater to no more than 140 degrees Fahrenheit." D. Ensure your baby's crib has side rails that can be lowered."
A. "your baby should be rear-facing in a car seat until 2 years of age." The parent should ensure the baby rides in a rear-facing car seat until at least 2 years of age, or longer if recommended by the car seat manufacturer.
A nurse is caring for a newborn who is premature at 30 weeks of gestation. Which of the of following findings should the nurse expect? A. Abundant lanugo B. Good flexion C. Heel creases covering the bottom of the feet D. Dry, parchment-like skin
A. Abundant lanugo Newborns who are premature have abundant lanugo (fine hair), especially over their back. A full-term newborn typically has minimal lanugo present only on the shoulders, pinna, and forehead.
A nurse in a provider's office is caring for a client who is in the first trimester of pregnancy. Which of the following psychological tasks should the nurse expect the client to accomplish during this trimester? A. Accepting the pregnancy B. Preparing for the end of pregnancy C. Preparing for parenthood D. Accepting the baby
A. Accepting the pregnancy Accepting the pregnancy is a psychological tasks that the client is expected to accomplish during the first trimester.
A nurse is caring for a client who reports intestinal gas pain following cesarean section. Which of the following actions should the nurse take? A. Assist the client to ambulate in the hallway B. Instruct the client to splint the incision with a pillow C. Have the client drink fluids through a straw D. Encourage the client to drink carbonated beverages
A. Assist the client to ambulate in the hallway Walking can help stimulate peristalsis, which will promote the expulsion of gas
A nurse is caring for a client at 32 weeks gestation who is experiencing preterm labor. Which of the following mediations should the nurse plan to administer? A. Betamethasone B. Misoprostol C. Methylergonovine D. Proactant alfa
A. Betamethasone The nurse should plan to administer betamethasone IM, a glucocorticoid, to stimulate fetal lung maturity and prevent respiratory depression.
A nurse is assessing a client who reports that she might be pregnant. Which of the following findings should the nurse identify as a presumptive sign of pregnancy? A. Nausea in the morning B. Positive home pregnancy test C. Increased sensitivity of the cervix noted upon examination D. Gestational sec observed by transvaginal ultrasound.
A. Nausea in the morning Nausea is a presumptive sign of pregnancy-that is, a subjective symptom reported by the mother that could have a cause other than pregnancy.
A nurse is caring for a client who recently have birth and plans to breastfeed. Which of the following actions should the nurse take? A. Place the unwrapped newborn on the mother's bare chest. B. Feed the infant 5-15mL 5% glucose water to assess the suck/swallow reflex. C. Bathe the newborn under running warm water before feeding D. Administer vitamin K and eye prophylaxis prior to feeding
A. Place the unwrapped newborn on the mother's bare chest. Skin-to-skin contact will maintain the newborn's temperature and illicit instinctive newborn feeding behaviors.
A nurse is caring for a newborn whose mother received magnesium sulfate to treat preterm labor. Which of the following clinical manifestations in the newborn indicates toxicity due to the magnesium sulfate therapy? A. Respiratory depression B. Hypothermia C. Hypoglycemia D. Jaundice
A. Respiratory depression Magnesium sulfate can cause respiratory and neuromuscular depression in the newborn. The nurse should monitor the newborn for clinical manifestations of respiratory depression.
A nurse is performing an initial physical assessment of a newborn following a vaginal birth. Which of the following findings should the nurse report to the provide? A. Small, pinpoint, reddish-purple spots on the chest B. Bluish coloring of the feet C. overlapping suture lines D. White, cheese-like substance covering the skin
A. Small, pinpoint, reddish-purple spots on the chest These marks are petechiae, which are commonly found above the neck if the umbilical cord was around the newborn's neck at birth/ Petechiae in any other circumstance should be reported because this finding can indicate infection or a low platelet count.
A nurse is caring for a primigravida client who is at 8 weeks gestation with twins. The client states that even though she and her husband planned this pregnancy, she is experiencing ambivalent feelings about it. Which of the following responses should the nurse make? A. "Have you told your husband about these feelings? B. "These feelings are quite normal at the beginning of pregnancy." C. "Perhaps you should see a counselor to discuss these feelings." D. "I am quite concerned about these feelings. Could you explain more?
B. "These feelings are quite normal at the beginning of pregnancy." The client needs reassurance that these feelings are normal and that there is no reason for concern.
A nurse in a prenatal clinic is performing telephone triage for several clients. Which of the following client reports should the nurse identify as an expected physiological adaptation to pregnancy? A. Spotting with urination B. Breast tenderness C. Thick, white vaginal discharge D. Facial swelling
B. Breast tenderness Breast tenderness is common during the first and third trimester of pregnancy. The nurse should explain that this is expected and that the client should wear a well-fitting, supportive bra to help alleviate the tenderness.
A nurse is assessing a newborn. Which of the following findings should the nurse report to the provider? A. Anterior fontanel of 5 cm B. Central cyanosis C. Edematous scrotum D. Capillary refill of under 2 seconds
B. Central cyanosis Central cyanosis is an indication of compromised cardiorespiratory status. Other manifestations include tachypnea, nasal flaring, retractions, and grunting
A nurse is assessing a client who is at 12 weeks gestation and has a hydatidiform mole. Which of the following findings should the nurse expect? A. Hypothermia B. Dark brown vaginal discharge C. Decreased urinary output D. Fetal heart tones
B. Dark brown vaginal discharge A hyditidiform mole (a molar pregnancy) is a benign proliferative growth of the chronic vili that gives rise to multiple cysts. The products of conception transform into a large number of edematous, fluid-filled vesicles. As cells slough off the uterine wall, vaginal discharge is usually dark brown and can contain grape-like clusters.
A nurse is caring for a client who is in labor. The nurse decides to switch from intermittent auscultation to continuous fetal monitoring. Which of the following data can only be obtained from continuous electronic fetal monitoring. A. Determination of a baseline B. Determination of variability C. Presence of accelerations D. Presence of decelerations
B. Determination of variability Continuous electronic fetal monitoring is required to determine variability since the nurse needs a monitor tracing to quantify variability.
fA nurse is assessing a client who is 3 days postpartum. When examining the client's uterus, which of the following techniques should the nurse use? A. Press down and forward with the hand that is placed on the base of the uterus B. Measure the height of the fundus in finger-breaths in relation to the umbilicus. C. Place the client in a semi-fowlers position prior to checking the uterus D. place the client in a supine position prior to checking the uterus
B. Measure the height of the fundus in finger-breaths in relation to the umbilicus. The nurse should measure the height of the fundus in finger breaths and should expect the height to decrease 1 finger breath in height daily after birth. The fundus should be about 3 finger-breaths below the umbilicus by the third day postpartum.
A ;nurse is caring for a client who is in labor. The nurse observes late decelerations on the fetal monitor. Which of the following actions should the nurse take? A. Decrease the rate of the client's maintenance IV fluid B. Place the client in a left lateral position C. Apply oxygen at 2 L/min via nasal cannula D. Prepare the client for an amniocentesis
B. Place the client in a left lateral position The nurse should identify that decelerations of the fetal heart rate with an onset beginning after a contraction has started that persist beyond the end of the contraction are considered late decelerations. Later decelerations indicate an interruption in fetal oxygenation. A lateral position improves blood glucose to the uterus and intervillous spaces. Repositioning that client is a component of intrauterine resuscitation.
A nurse is planning care for a client who is postpartum. Which of the following strategies should the nurse include in the plan to prevent bladder distention? A. Withhold analgesics to prevent urinary retention B. Run water in the sink while the client sits on the toilet C. Perform Crede's maneuver every 4 hours D. Restrict oral hydration
B. Run water in the sink while the client sits on the toilet Running water in the sink, placing the client's hand in warm water, and using a squeeze bottle to run water over the client's perineum can assist with spontaneous voiding
A nurse is caring for a newborn who has a prescription for phototherapy. The mother asks why the newborn needs to lay under a special light. Which of the following responses should the nurse make? A. "The light helps your baby maintain his body temperature." B. "The light helps your baby establish a regular sleeping pattern." C. "The light will help lower your baby's bilirubin level." D. "The light will help regulate your baby's blood sugar."
C. "The light will help lower your baby's bilirubin level." Jaundice is caused by the breakdown of red blood cells, which release bilirubin. A newborn's immature liver is unable to filter and excrete the bilirubin efficiently, leading to accumulation of bilirubin in the tissues, The ultraviolet light in phototherapy assists in breaking down the bilirubin so that it can be excreted in the urine and feces.
A nurse is providing teaching to a client who has come to the family-planning clinic requesting an intrauterine device (IUD). Which of the following pieces of information should the nurse provide the client? A. "If you lose weight, you will need to have you IUD refitted." B. "An IUD provides protection from certain sexually transmitted infections." C. "Your risk for ectopic pregnancy increases with an IUD." D. "You shouldn't use an IUD if you want to have children later."
C. "Your risk for ectopic pregnancy increases with an IUD." An IUD is a contraceptive device the provider inserts through the cervix into the uterus. The IUD works by changing the lining of the uterus and fallopian tubes, making fertilization in the uterus more difficult. Consequently, an IUD increases the risk of ectopic pregnancy
A nurse is caring for an infant who beings displaying manifestations of neonatal abstinence syndrome (NAS). Which of the following actions should the nurse take? A. Swaddle the infant with arms and legs extended B. Administer naloxone IM C. Avoid eye contact during feedings D. Discourage the mother from handling the infant during the withdrawal phase
C. Avoid eye contact during feedings The nurse should avoid eye contact and talking during feedings. Infants with NAS have difficulty processing multiple forms of stimulation and can quickly become frustrated
A nurse is caring for a client in active labor whose fetus is in a persistent occiput posterior position. Which of the following actions should the nurse take to promote rotation of the fetal head? A. Apply counter-pressure to the client's back B. Place heat on the client's lower back C. Instruct the client to squat during contractions D. Encourage the client to ambulate in the hall
C. Instruct the client to squat during contractions Measures to encourage rotation of the fetal head to a more anterior position include squatting during contractions, getting on hands and knees during contractions, and lying on the same side as the fetal spine.
A nurse is teaching the guardian of a newborn about car seat safety. Which of the following pieces of information should the nurse include? A. Position the child's car seat forward-facing at 1 year of age B. Place the retainer clip 2 inches above the newborn's umbilicus C. Place the shoulder harness in the slots that are level with the newborn's shoulders D. Position the newborn's car seat at a 20 degree angle in the vehicle.
C. Place the shoulder harness in the slots that are level with the newborn's shoulders The guardian should place the shoulder harness in the slots that are level or slightly below the newborn's shoulders to ensure the child is restrained in the even of an accident.
A nurse is caring for a client who is receiving IV oxytocin for the induction of labor and notes repetitive early decelerations on the electronic fetal heart rate (FHR) tracing. Which of the following actions should the nurse take? A. Increase the rate of intravenous fluid infusion B. Discontinue the infusion of oxytocin C. Re-evaluate the FHR tracing in 15 minutes D. Request a prescription for an amnioinfusion
C. Re-evaluate the FHR tracing in 15 minutes Early decelerations are a result of the compression of the fetal head during contractions. They are benign and require no specific intervention. The nurse should reassess the FHR and contraction pattern in 15 minutes due to the infusion of oxytocin
A nurse is evaluating a client who has just received instructions about breastfeeding. Which of the following statements should the nurse identify as an indiction that the client understands how to prevent mastitis? A. "I will wear an underwire bra to provide support when my milk comes in." B. "I will apply petroleum jelly if my nipples become cracked." C. "I will apply warm compresses to my breasts twice a day." D. "I should avoid waiting too long between feedings."
D. "I should avoid waiting too long between feedings." Mastitis is an inflammation or infection of the breast. Risk factors include insufficient emptying of the breasts during breastfeeding, stress, illness, poor nutrition, and fatigue.
A nurse is providing teaching about newborn care to the parent of a newborn. Which of the following statements by the parent indicates an understanding of the teaching? A. "I will was my baby's umbilical cord stump with antibacterial soap." B. "I will cover my baby with a lightweight blanket during nap time" C. "I will use a cotton-tipped swab to clean my baby's ear canals." D. "I will place a hat on my baby's head prior to going outside."
D. "I will place a hat on my baby's head prior to going outside." The parents should place a hat or bonnet on the newborn's head to protect the scalp, minimize heat loss, and protect against sunburn.
A nurse is preparing to administer meperidine hydrochloride to a client who is in labor. Which of the following statements should the nurse make to the client? A. "This medication can cause your blood pressure to rise." B. "This medication can cause dry mouth." C. "This medication can cause you to urinate excessively." D. "This medication can make you sleepy."
D. "This medication can make you sleepy." Meperidine hydrochloride is an opioid analgesic used for moderate to severe pain during labor. It binds to the brain's opioid receptors and alters the client's response to pain. The client should be informed of the possible adverse effects of this medication such as hypotension, confusion, sedation, headaches, respiratory depression, constipation, and urinary retention,
A nurse is preparing a client who is in labor for the insertion of an intrauterine pressure catheter. The client asks why this type of monitoring is needed. Which of the following responses should the nurse make? A. "This type of monitoring is necessary for timing the frequency of your contractions." B. "This type of monitoring in noninvasive, so it is the best way to monitor your labor contractions." C. "This type of monitor allows us to evaluate your baby's heart rate while you are in labor." D. "This type of monitoring will allow us to measure the intensity of your contractions."
D. "This type of monitoring will allow us to measure the intensity of your contractions." A tocotransducer can monitor the frequency and duration of contractions, buy only an intrauterine pressure catheter can monitor the intensity of contractions.
A nurse is caring for a client whose last menstrual period (LMP) began on July 8. Using Naegele's rule, what is the client's estimated date of birth (EDB)? A. October 1 B.April 1 C. October 15 D. April 15
D. April 15
A nurse is caring for a client who is postpartum and is having difficulty voiding. Which of the following actions should the nurse take first? A. Place the client's hands in warm water B. Administer an analgesic to the client C. Pour water from a squeeze bottle over the client's perineum D. Assist the client to the bathroom
D. Assist the client to the bathroom The greatest risk to this client is an injury from a distended bladder; therefore, the first action the nurse should take is to assist the client to the bathroom to encourage spontaneous voiding. If this is unsuccessful, the nurse can try other techniques to promote voiding.
A nurse is providing teaching to a client who is at 8 weeks gestation about manifestations to report to the provider during pregnancy. Which of the following pieces of information should the nurse include in the teaching? A. Nausea upon awakening B. Leg cramps while sleeping C. Increased white vaginal discharge D. Blurred double vision
D. Blurred double vision A client who is pregnant should report experiencing blurred or double vision, as these could be a manifestation of gestational hypertension or preeclampsia
A nurse is caring for a client who is in labor and is reporting intense pain during contractions. The client has no previous knowledge of nonpharmacologic comfort measures. Which of the following nursing interventions should the nurse implement? A. Self-hyponsis B. Biofeedback C. Acupuncture D. Slow-paced breathing
D. Slow-paced breathing Slow-paced breathing is an easy technique for the client to learn quickly and practice immediately. It provides distraction, which can help reduce the perception of pain. The pattern is in 2-3-4/out 2-3-4/In 2-3/Out 2-3-4. Repeating this cycle slows the client's breathing to about half of its usual rate, which can help relx the client and improve oxygenation.
A nurse is performing a physical assessment of a male newborn. Which of the following findings should the nurse report to the provider? A. Superficial cracking and peeling are evident on the skin of the hands and feet B. Superficial cracking and peeling are evident on the skin of the hands and feet. C. The bulge of the testes is palpable in the inguinal canal D. There is decreased abdominal movement with breathing.
D. There is decreased abdominal movement with breathing. The nurse should report this finding to the provider. Decreased abdominal movement with breathing is a deviation from an expected finding and could indicate phrenic nerve palsy or a congenital diaphragmatic hernia. The nurse should expect the newborn to have diaphragmatic breathing with synchronous abdominal and chest movements.
A nurse is caring for a client in the third trimester of pregnancy who reports difficulty sleeping. Which of the following instructions should the nurse produce? A. Eat a high-fat snack before bed B. Exercise in the evening before bed C. Sleep in the supine position D. Use additional pillows to support extremities and abdomen
D. Use additional pillows to support extremities and abdomen Finding a comfortable position for sleeping during the last 3 moths of pregnancy can be difficult due to fetal growth. Using additional pillows promotes a more comfortable sleeping position