The Nurse Manager of the Prenatal Clinic Is Updating the Clinic

The nurse manager of the prenatal clinic is updating the clinic guidelines for accurately measuring blood pressure. Which of the following should not be included in the recommendations?

A) Assess for any recent consumption of caffeine or nicotine.
B) Ensure correct blood pressure cuff size (width of bladder 40% of circumference and 
encircle 80% of arm) .
C) Instruct clients to sit quietly for 5 minutes prior and not talk during the measurement.
D) Place pregnant clients in side-lying position to maximize placental blood flow.