The nurse is reinforcing instructions to a client at 34 weeks gestation who is preparing to travel by airplane. Which of the following instructions are appropriate? Select all that apply.

Question

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Travel during pregnancy requires special modifications and precautions to ensure client safety and reduce the potential for injury and pregnancy complications. Clients should get their health care provider's approval prior to traveling long distances. Domestic air travel is usually allowed for healthy clients at <36 weeks gestation. When reinforcing education about travel safety, the nurse should instruct the client to: carry an updated copy of the prenatal record in case emergency medical care is necessary during travel (Option B). increase fluid intake to prevent dehydration and reduce the risk of thrombus formation or preterm contractions (Option C). secure the lap belt under the gravid abdomen and across the hips and, if available, place shoulder belts lateral to the uterus and between the breasts to prevent complications from abdominal trauma (eg, placental abruption) (Option D). wear compression stockings and unrestrictive clothing to improve venous return and decrease the risk of thrombus formation (Option E). avoid traveling to Zika- or malaria-prevalent areas and remote areas with poor medical care or lack of sanitation. (Option A) Pregnancy is a hypercoagulable state that augments the risk of thrombus formation. The nurse should encourage pregnant clients who embark on long travel to walk every 1-2 hours to decrease the risk of thrombus formation. Educational objective: When education about travel safety to pregnant clients is reinforced, recommendations should include carrying the prenatal record; increasing fluid intake; wearing compression stockings and loose clothing; avoiding long periods of sitting; and wearing the lap belt underneath the gravid abdomen and across the hips.

The Nurse Is Reinforcing Instructions to a Client at 34