NCLEX-RN Practice Question
A patient who has mild intermittent asthma is 23 weeks pregnant. Which of these recommendations will the healthcare provider give the patient to promote the health of the woman and her baby? Select all that apply.
“Measure your peak flow rate once or twice per day.”
“Keep all of your appointments for non-stress testing .”
“Avoid exercise while you are pregnant because this can trigger an attack.”
“You should not receive a flu shot until after the baby is born.”
“Use a humidifier in your home to increase the level of humidity.”
“Call our office immediately if you notice a decrease in your baby’s movements.”
HINTS:
Recommendations for this patient are aimed at controlling asthma severity because poorly controlled asthma can cause maternal hypoxia and impairment of fetal oxygenation.
Because there are no known risks of the flu shot for a developing fetus, women who are pregnant during flu season should receive a flu shot.
Increasing humidity can increase dust and dust mite activity and trigger an asthma attack.
Vigorous exercise may trigger an asthma attack in some patients but moderate exercise should not be discouraged.
The woman should monitor her peak flow rate because decreasing flow rates usually signal a worsening of asthma even if she is feeling well.
CORRECT ANSWER:
Items 1, 2, 4, 6
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