A nurse is educating a client who is primigravida about the expected changes during pregnancy. Which of the following are examples of anticipatory guidance about pregnancy?

A) Avoid wearing high heels, especially during late pregnancy.
B) Inform healthcare provider if bleeding is more than just spotting.
C) Avoid consuming too much fiber in the diet.
D) Eat sweets at bedtime to avoid waking up feeling hungry.


A
Feedback:
The nurse should ask the client to avoid wearing high heels, especially during late pregnancy because the ligaments relax and the pregnant woman's center of gravity changes; thus, she may lose her balance. The nurse should ask the client to inform the healthcare provider if any bleeding, including a spot or two, occurs. The nurse should ask the pregnant woman to consume plenty of fiber and water to prevent constipation and hemorrhoids. If she wakes up feeling very hungry, it could help to eat starchy food, such as a baked potato, just before bedtime. If she eats sweets, she will probably have a rapid rise in blood sugar, followed by a sharp drop. Either of these changes can cause uncomfortable symptoms.

Nursing

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