What should a nurse encourage a pregnant client with cardiac disease to do in order to manage stress?

• A. Minimize communication with others
• B. Reduce excessive maternal stress and fatigue
• C. Engage in intense exercise
• D. Limit dietary intake

Answer: (B)

Encouraging a pregnant client with cardiac disease to reduce excessive maternal stress and fatigue is crucial for her health and the health of her developing baby. High levels of stress can lead to increased heart rate and blood pressure, further complicating existing cardiac issues. By minimizing stress, the nurse helps the patient maintain a more stable cardiovascular state, promoting better oxygenation and circulation, which are essential during pregnancy.

Reducing fatigue is equally important, as exhaustion can exacerbate cardiac strain and negatively impact overall well-being. Adequate rest and support in managing daily activities can lead to improved maternal calmness and promote healthy fetal development.

In contrast, minimizing communication with others would not support emotional well-being and could increase feelings of isolation. Engaging in intense exercise is not advisable for someone with cardiac disease, as it may put undue stress on the heart. Limiting dietary intake may not directly address stress management and can lead to inadequate nutrition, which is critical during pregnancy. Overall, emphasizing the reduction of stress and fatigue supports both physical and psychological well-being in a vulnerable population.