A patient in her third trimester of pregnancy complains of dizziness and faintness when she lies on her back. Which statement by the nurse is most appropriate?
a. "Don't worry, you don't have long to go until delivery."
b. "To improve the symptoms, lie on your left side instead of your back."
c. "The symptoms are due to an increase in cardiac output when you lie down."
d. "You will sleep more comfortably in a recliner."
ANS: B
Supine hypotensive syndrome is a drop in cardiac output that may occur in the third trimester as a result of pressure on the inferior vena cava by the enlarged uterus. Cardiac output is best when lying on the left side.
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