The pregnant patient is in her 21st week of pregnancy and is planning a vacation with her family. She asks the nurse which method of travel would be recommended for her to use. How should the nurse respond? "The safest method of travel is to:
1. "Take an automobile."
2. "Fly on an airplane."
3. "Travel by train."
4. "Not travel this late in pregnancy."
Correct Answer: 3
Rationale 1: Automobile travel does not allow for frequent enough movement.
Rationale 2: Airplane travel does not allow for frequent enough movement.
Rationale 3: In the latter half of pregnancy, frequent movement is recommended for pregnant women, both to increase comfort and to decrease venous pooling, which can lead to thrombophlebitis. The train allows the most movement for the traveling pregnant woman.
Rationale 4: It is not necessary to cease travel altogether.
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