A client at 32 weeks' gestation complains of easy fatigability. During the history taking, the client tells the doula that she has been frequently awakened from sleep almost every night for the past week due to fetal activity. The client also reports shortness of breath every time she sleeps flat in bed. Which of the following suggestions given by the doula is the LEAST appropriate when managing the client's sleeping problems?

Question

Quizplus · Accepted Answer

The least appropriate instruction is to keep the client's knees sharply bent when sitting or lying down. This position can increase the risk of venous stasis below the knee. The client should not lie in a supine position as it increases the risk of supine hypotension. The client may instead sleep on two pillows or on a couch with an armrest. Sleeping in a modified Sims' position, with the top leg forward, allows the weight of the fetus to rest on the bed. A rest period during the afternoon may also alleviate fatigue.

A Client at 32 Weeks' Gestation Complains of Easy Fatigability