QUESTION: "After the nurse instructs a pregnant client about swimming and bathing during pregnancy, which of the following client statements indicates the need for additional teaching?"
CHOICES
( X ) a.) "I can continue to swim as long as my membranes aren't ruptured."
( O ) b.) "I can relax in a hot tub for about 20 minutes after swimming."
( X ) c.) "I can take a bath daily but should be careful not to fall."
( X ) d.) "I should avoid sitting in a sauna for prolonged periods."
RATIONALE: Exposure to temperature extremes, such as from a hot tub, can cause damage to the fetus. Therefore, the client should avoid relaxing in a hot tub after swimming. Swimming and tub bathing are allowed as long as the client's membranes have not ruptured. During the last trimester of pregnancy, the client's center of gravity has shifted. Therefore, the nurse should emphasize safety during tub bathing. Sitting in a sauna can cause damage to the fetus due to temperature extremes. Thus, this activity should be avoided. NURSING PROCESS STEP: Evaluation CLIENT NEEDS CATEGORY: Health promotion and maintenance CLIENT NEEDS SUBCATEGORY: None
