A nurse is teaching a client in her second trimester about measures to relieve heartburn during pregnancy. Which of the following measures does the nurse include in the teaching? (Select all that apply)
Lie down after meals.
Remain upright after meals.
Eat small, frequent meals.
Drink 2 large glasses of water before each meal.
Discuss antacid recommendations with the provider.
Correct Answer : B,C,E
Choice A rationale
Lying down after meals can exacerbate heartburn by allowing stomach acid to flow back into the esophagus. It is generally recommended to remain upright after eating to help prevent this.
Choice B rationale
Remaining upright after meals helps prevent heartburn by keeping stomach acid in the stomach and reducing the likelihood of acid reflux. This can be achieved by sitting or standing for at least 30 minutes after eating.
Choice C rationale
Eating small, frequent meals can help prevent heartburn by reducing the amount of food in the stomach at any one time, which decreases the pressure on the stomach and the likelihood of acid reflux.
Choice D rationale
Drinking large amounts of water before meals can increase the volume in the stomach and may exacerbate heartburn. It is generally better to drink fluids between meals rather than before or during meals.
Choice E rationale
Discussing antacid recommendations with the provider is appropriate. Antacids can help neutralize stomach acid and provide relief from heartburn, but it is important to consult with a healthcare provider to ensure that the chosen antacid is safe for use during pregnancy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","E","G"]
Explanation
Choice C rationale
Lower abdominal cramping during early pregnancy can be a sign of various conditions, including normal uterine growth, but it can also indicate potential complications such as an ectopic pregnancy or miscarriage. It is crucial to report this symptom to the provider to rule out any serious issues and ensure the safety of both the mother and the fetus.
Choice E rationale
Vaginal spotting during early pregnancy can be a sign of implantation bleeding, which is usually harmless. However, it can also indicate more serious conditions such as a threatened miscarriage or an ectopic pregnancy. Reporting this symptom to the provider is essential for further evaluation and appropriate management.
Choice G rationale
Dysuria, or painful urination, can be a sign of a urinary tract infection (UTI), which is common during pregnancy due to hormonal changes and the growing uterus pressing on the bladder. UTIs can lead to complications if left untreated, so it is important to report this symptom to the provider for prompt diagnosis and treatment. 1: [9 Weeks Pregnant: Baby Development, Symptoms.
Correct Answer is ["A","C","E"]
Explanation
Choice A rationale
Intrauterine growth restriction (IUGR) can result in a smaller fundal height measurement than expected for gestational age. This condition indicates that the fetus is not growing at the normal rate inside the womb.
Choice B rationale
A fundal height measurement of 19 centimeters at 22 weeks of gestation is not consistent with the estimated gestational age by LMP. Typically, the fundal height in centimeters should be approximately equal to the number of weeks of gestation.
Choice C rationale
Fetal anomalies can affect the size and growth of the fetus, leading to discrepancies in fundal height measurements. This could result in a smaller or larger than expected measurement.
Choice D rationale
Polyhydramnios, or excessive amniotic fluid, would typically result in a larger fundal height measurement than expected for gestational age. Therefore, this choice is incorrect.
Choice E rationale
Miscalculation of the due date can lead to discrepancies in fundal height measurements. If the gestational age is miscalculated, the fundal height may not match the expected measurement for the given weeks of gestation.
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