What action should a nurse recommend for a pregnant client with hemorrhoids to alleviate discomfort?

Applying a cool compress to the hemorrhoids can effectively alleviate discomfort during pregnancy. Cold therapy helps reduce inflammation and swelling, providing a soothing effect that can relieve itching and pain associated with hemorrhoids. This approach is safe for pregnant clients and can be easily implemented at home, making it a practical recommendation for managing discomfort.

The other options do not address the immediate need for relief from hemorrhoid symptoms or may not be suitable for the context of pain management. For instance, contacting the midwife if bleeding occurs is a proactive measure but does not directly alleviate discomfort. Sleeping on the back is typically discouraged in later stages of pregnancy due to the potential for reduced blood flow, making it difficult for the client to achieve comfort while managing hemorrhoids. Showering daily can maintain hygiene, but avoiding baths doesn’t directly provide relief from hemorrhoids and may not be necessary for every individual. Overall, applying a cool compress specifically targets the symptoms of hemorrhoids, making it the most effective recommendation for this situation.