A pregnant client is diagnosed with a cardiac problem. What should the nurse prepare to instruct this client to do, to ensure a safe pregnancy? Select all that apply
1. Restrict activities.
2. Follow a diet high in iron and protein.
3. Restrict the intake of sodium.
4. Obtain 8 to 10 hours of sleep.
5. Obtain pneumococcal vaccination.
1, 2, 3, 4
Explanation:
1. To help preserve her cardiac reserves, the woman may need to restrict her activities.
2. For the pregnant client with cardiac problems, the client should be instructed in the importance of a diet high in iron and protein.
3. For the pregnant client with cardiac problems, the client should be instructed in the importance of a diet low in sodium.
4. For the pregnant client with cardiac problems, 8 to 10 hours of sleep are essential.
5. Because upper respiratory infections may tax the heart and lead to decompensation, the woman must avoid contact with sources of infection. A pneumococcal vaccination is not indicated.
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