A client, now 37 weeks pregnant, calls the clinic because she’s concerned about being short of breath and is unable to sleep unless she places three pillows under her head. After listening to her concerns, the nurse should take which action（）
A. Make an appointment because the client needs to be evaluated.
B. Explain that these are expected problems for the latter stages of pregnancy.
C. Arrange for the client to be admitted to the birth center for delivery.
D. Tell the client to go to the hospital; she may be experiencing signs of heart failure from a 45% to 50% increase in blood volume.
参考答案：B
解析：
The nurse must distinguish between normal physiologic complaints of the latter stages of pregnancy and those that need referral to the health care provider. In this case, the client indicates normal physiologic changes due to the growing uterus and pressure on the diaphragm. The client doesn’t need to be seen or admitted for delivery. The client’s signs aren’t indicative of heart failure.