A primigravid client at 24 weeks' gestation has received permission from the primary care provider to make a 6-hour automobile trip to visit her parents. After the nurse teaches the client about precautions to take during the trip, which client statement indicates the need for further instruction?

The answer is c)."I will drink plenty of fluids to avoid dehydration."

Explanation:

Pregnancy is a state in which there is a fluid overload for the breast. This overload usually occurs due to several maternal, fetal and placental substances that are released especially in the first trimester. This overload can also occur due to the weight exerted by the uterus on the largest blood vessels in the woman's body, which leads to difficulty of venous return with the consequent accumulation of this fluid in the tissues.

The aforementioned situation leads to the pregnant woman presenting a condition called edema. These edemas are usually present mainly in the legs and ankles and at the end of the day.

For this reason, although it is necessary for women to drink the necessary liquid to hydrate, drinking too much liquid will lead to a greater fluid overload and consequent appearance of more edema, especially since it will take a car trip for 6 hours.

It is important that the nurse asks the pregnant patient some questions about the instructions she provided at the beginning to see if the patient really internalized the indications. If not, proceed to explain the patient again.

In addition, the nurse can ask the patient if she managed to understand all the indications presented at the beginning and if not, clarify doubts to the patient to achieve the objectives of proper care.

Finally, it is necessary to warn the patient of the alarm sinuses and in case they appear to go to the nearest hospital during their road trip.