A client in the third trimester of pregnancy reports working 8 hours a day as a cashier and stands when at work. What response by the nurse is the most appropriate?
1. "No problem. Your baby will be fine."
2. "Do you get regular breaks for eating?"
3. "Your risk of preterm labor is higher."
4. "Standing might increase ankle swelling."
3
Explanation:
1. Standing more than 5 hours a day increases the risk of preterm labor. To be therapeutic in communication, avoid false reassurance.
2. Although breaks for eating, drinking, and toileting are important for pregnant employees, it is more important to tell the client about the increased risk of preterm labor.
3. Pregnant women who stand for more than 3 hours a day have an increased risk of preterm labor. Because preterm labor can put the infant's life at risk, this statement would be the highest priority.
4. Although this is true, it is less important than teaching the client about the risks of preterm labor when standing more than 3 hours a day.
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