The nurse explains the changes a pregnant client will experience related to sleep. Which
statement is true regarding sleep during pregnancy?
Nearly all
... [Show More] pregnant women notice increased nighttime awakenings (especially during the third
trimester). There can be physical discomfort, psychological adjustments, and hormone changes—all
of which can impact sleep and result in excessive daytime sleepiness and fatigue. Lying on the side is
recommended and can help lift pressure off the vena cava, which helps improve perfusion. A wedge
pillow placed under the belly can reduce back strain.
Which foods should be avoided during pregnancy because of the risk of contamination by
bacteria?
To avoid listeria infections, pregnant women should avoid soft and moldy cheeses. Listeria food
infections have been found in deli meats, hot dogs, raw dairy products, and some raw produce.
Sprouts need warm and humid conditions to grow. These conditions are also ideal for the growth of
bacteria, including listeria, salmonella, and E. coli. Pregnant women should not eat raw or lightly
cooked sprouts of any kind (including alfalfa, clover, radish, and mung bean sprouts). Refrigerated,
smoked seafood presents a very real threat of listeria. Pregnant women should not eat refrigerated,
smoked seafood unless it is in a cooked dish, such as a casserole, that reaches an internal
temperature of 165°F to kill harmful germs.
A client has arrived at the obstetrician's office for a pre-pregnancy appointment. The client
was running late due to smoking a cigarette before walking into the building. The client asks
the nurse how long the appointment will take and if it is really that important to quit smoking
before trying to conceive.
Which of the following statements related to smoking should the nurse share with the client?
Select all that apply.
Risks associated with smoking during pregnancy include an increased risk of miscarriage and an
increased incidence of birth defects. Smoking after birth and exposing the newborn to secondhand
smoke increases the risk for sudden infant death syndrome.
Smoking during pregnancy can cause premature labor, not a postdates pregnancy. Smoking during
pregnancy can impede fetal growth, not increase fetal growth.
HEALTHY PEOPLE 2030
Once pregnancy is determined, antepartum (prenatal) care should begin. Women are often very
motivated to improve health practices during pregnancy for the benefit of their unborn child, providing
many general health benefits and pregnancy-related health promotion opportunities. The cognitive
and physical development of infants and children may be influenced by the health, nutrition, and
behaviors of their mothers during pregnancy and early childhood. Increasing the number of pregnant
women receiving early and adequate prenatal care is a major focus of many organizations, such as
Healthy People 2030.
Healthy People 2030 focuses on preventing pregnancy complications and maternal deaths and
helping women stay healthy before, during, and after pregnancy, as women’s health can have a
major impact on the infant’s health and well-being.
• Women who get recommended health care services before they become pregnant are more
likely to be healthy during pregnancy and to have healthy babies (Office of Disease Prevention
and Health Promotion, n.d.).
• Strategies to help women adopt healthy habits and get health care before and during
pregnancy can help prevent pregnancy complications.
• Interventions to prevent unintended pregnancies can help reduce negative outcomes for
women and infants.
• Strategies to help pregnant women get medical care and avoid risky behaviors—like smoking
or drinking alcohol—can also improve health outcomes for infants [Show Less]