A nurse is caring for a client.

Exhibits

Complete the following sentence by using the lists of options.

The client is at highest risk for developing

, evidenced by the client's

Correct. Pelvic rocking exercises can help alleviate lower back pain during pregnancy by promoting movement and flexibility in the pelvic area.

Picking up heavy items with the arms might not directly address lower back pain during pregnancy.

Sitting in a hot tub for extended periods is not recommended during pregnancy due to the risk of overheating.

Raising chairs to keep knees lower than hips is a general ergonomic recommendation, but it might not directly address lower back pain.

Incorrect Options

• Osteoporosis: This condition is primarily characterized by bone density loss and an increased risk of fractures. It would not be indicated by bilateral wrist and shoulder stiffness. Instead, osteoporosis symptoms include bone density loss and potentially fractures.
• Hypertension: Hypertension involves consistently high blood pressure. Bilateral wrist and shoulder stiffness are not typical symptoms of hypertension. The primary indicator for hypertension is elevated blood pressure.
• Diabetes Mellitus: This metabolic disorder is characterized by high blood glucose levels. Symptoms related to diabetes include elevated blood glucose levels, not joint stiffness.
• Chronic Obstructive Pulmonary Disease (COPD): COPD is a respiratory condition marked by shortness of breath, chronic cough, and other respiratory symptoms. It would not be indicated by joint stiffness but rather by respiratory difficulties such as shortness of breath.

In contrast, rheumatoid arthritis is an autoimmune disease that primarily affects the joints, leading to symptoms such as bilateral wrist and shoulder stiffness. Therefore, the correct answer is "rheumatoid arthritis" and "bilateral wrist and shoulder stiffness," while the incorrect options provided do not align with the symptoms of rheumatoid arthritis.