In performing "kick counts," what indicates that a pregnant client needs additional instruction?

The statement indicating that the pregnant client needs additional instruction is the one suggesting the need to lie flat on her back to perform the kick counts. This is important because lying flat on the back during pregnancy, particularly in the later stages, may compress the inferior vena cava, which can reduce blood flow to the mother and fetus. This position may result in a decrease in fetal movement sensation and potentially lead to discomfort or complications for the mother.

In contrast, maintaining an upright position and resting on the side can both facilitate better awareness and counting of fetal movements. Counting kicks after meals is often encouraged, as fetal movements typically increase after eating due to increased glucose levels, which can stimulate the baby. Therefore, understanding the correct positioning for kick counts is crucial to ensure the effectiveness of monitoring fetal movements and maintaining the health of both mother and baby.