The nurse caring for a pregnant client is evaluating his or her health teaching regarding fetal circulation.Which statement from the client reassures the nurse that his or her teaching has been effective?
A) "Optimal fetal circulation is achieved when I am in the side-lying position."
B) "Optimal fetal circulation is achieved when I am on my back with a pillow under my knees."
C) "Optimal fetal circulation is achieved when the head of the bed is elevated."
D) "Optimal fetal circulation is achieved when I am on my abdomen."

Question

Quizplus · Accepted Answer

Optimal circulation is achieved when the woman is lying at rest on her side.Decreased uterine circulation may lead to intrauterine growth restriction.Previously,it was believed that the left lateral position promoted maternal cardiac output,enhancing blood flow to the fetus.However,it is now known that the side-lying position enhances uteroplacental blood flow.If a woman lies on her back with the pressure of the uterus compressing the vena cava,then blood return to the right atrium is diminished.Although having the head of the bed elevated is recommended and ideal for later in pregnancy,the woman still must maintain a lateral tilt to the pelvis to avoid compressing the vena cava.Many women find lying on their abdomen uncomfortable as pregnancy advances.Side-lying is the ideal position to promote blood flow to the fetus.

The Nurse Caring for a Pregnant Client Is Evaluating His