A client in her 7th month of pregnancy has been complaining of back pain and wants to know what can be done to relieve it. Which of the following responses by the nurse is most effective
A. "You need to lie down more during the day to get off your feet. "
B. "Avoid lifting heavy loads, and try using the pelvic tilt exercise. "
C. "Have others pick things up for you so you don’t have to bend over so much. "
D. "Your back pain will go away after the baby is born. "
参考答案：B
解析：The pelvic tilt exercise, which can be done standing as well as lying down, can greatly relieve back discomfort. As the pregnancy progresses into the last trimester, women typically develop a "swayback" curvature of the spine to counterbalance the enlarging fetus. Tilting of the pelvis aligns the spine, decreasing pressure and back discomfort. Lying down more during the day may not be possible or convenient for some clients. Also, the supine position may not be comfortable for some clients and may cause vena cava syndrome (dizziness on rising and decreased circulation to the fetus). Avoiding bending over as much may not be realistic for the client’s circumstances, nor does it address back pain as effectively as the pelvic tilt. The last response doesn’t help to relieve the client’s discomfort.