A student nurse is working in the OB clinic as part of a preceptorship. The student is counseling a woman in her first trimester who complains of insomnia due to nasal congestion
Which action by the student warrants intervention by the student's preceptor?
A.
Advises the woman to use over-the-counter nasal saline spray
B.
Assesses the patient for other allergy and cold symptoms
C.
Instructs the woman to use decongestants and antihistamines
D.
Suggests the woman take a hot, steamy bath at bedtime
ANS: C
Congestion is a common complaint in pregnancy. Self-care measures include occasional saline drops; hot, steamy showers; increasing fluids;, and using a vaporizer or humidifier. It is important to rule out upper respiratory infections such as colds or allergies when a woman complains of nasal congestion. Women should avoid decongestants in the first trimester.
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