A 21-year-old woman is at 12 weeks' gestation with her first baby. She has cardiac disease, class III, as a result of having had childhood rheumatic fever. Which planned activity would indicate to the nurse that the client needs further teaching?
1. "I will be sure to take a rest period every afternoon."
2. "I would like to take childbirth education classes in my last trimester."
3. "I will have to cancel our trip to Disney World."
4. "I am going to start my classes in water aerobics next week."
4
Rationale:
1. Because of the class III of the heart disease, this client is encouraged to get adequate rest.
2. Childbirth classes would be helpful for the client, as long as she is aware not to overexert herself.
3. Travel during the pregnancy would be based upon the tolerance of the client. However, a trip to Disney World would involve a large amount of activity, and would stress the pregnancy.
4. With the slightest of exertion, her heart rate will rise, and she will become symptomatic. Therefore, she should not establish a new exercise program.
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