A client in preterm labor is on bedrest. Which position does the nurse recommend for the client's comfort?

The left lateral position is often recommended for clients in preterm labor because it helps improve uteroplacental blood flow and can take pressure off the cervix, which may help reduce contractions. This position also decreases the risk of supine hypotensive syndrome, where the uterus compresses the inferior vena cava when a pregnant woman lies flat on her back. Lying on the left side is generally more beneficial for both maternal and fetal circulation.

In contrast, the supine position may lead to discomfort and complications, particularly by decreasing blood flow to the uterus due to pressure on major blood vessels. The right lateral position might not provide the same benefits as the left lateral position does in terms of uterine blood flow, though it can still be a comfortable alternative. Sitting upright, while possibly comfortable and providing relief from certain symptoms, does not optimize blood flow to the uterus and could exacerbate any contraction activity. Therefore, the left lateral position is prioritized for comfort and effective management of preterm labor.