A nurse is reinforcing teaching with a client who is pregnant and reports frequent heartburn.Which of the following recommendations should the nurse include in the teaching?
Lie in a left side-lying position for 30 minutes after meals.
Take sips of milk between meals.
Eat three large meals per day.
Drink a cup of black coffee before breakfast.
The Correct Answer is B
Choice A rationale
Lying in a left side-lying position for 30 minutes after meals can help reduce heartburn symptoms by preventing stomach acid from flowing back into the esophagus. However, it is not the most effective recommendation for managing heartburn during pregnancy.
Choice B rationale
Taking sips of milk between meals can help neutralize stomach acid and provide relief from heartburn. Milk can act as a buffer, reducing the acidity in the stomach and alleviating discomfort.
Choice C rationale
Eating three large meals per day can exacerbate heartburn symptoms by increasing the amount of stomach acid produced. Smaller, more frequent meals are recommended to help manage heartburn during pregnancy.
Choice D rationale
Drinking a cup of black coffee before breakfast can worsen heartburn symptoms due to its acidic nature and caffeine content. It is not recommended for individuals experiencing frequent heartburn, especially during pregnancy.
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Correct Answer is D
Explanation
Choice A rationale
A BP of 132/84 mm Hg is within the normal range for a pregnant woman and does not require immediate reporting.
Choice B rationale
A weight gain of 1 kg (2.2 lb) in one month is within the expected range for a pregnant woman at 26 weeks gestation.
Choice C rationale
Pedal edema is a common symptom in pregnancy and is usually not a cause for concern unless accompanied by other symptoms.
Choice D rationale
Double vision is a concerning symptom that could indicate a serious condition such as preeclampsia. It should be reported to the provider immediately.
Correct Answer is D
Explanation
Choice A rationale
Providing additional hydration by offering glucose water is not recommended. Breast milk or formula should be the primary source of hydration for newborns.
Choice B rationale
Monitoring the newborn’s heart rate every 2 hours is not necessary for phototherapy. The focus should be on monitoring bilirubin levels, hydration status, and ensuring the newborn’s eyes are protected.
Choice C rationale
Applying a water-based lotion to the newborn’s skin every 4 hours is not recommended. Lotions can interfere with the effectiveness of phototherapy and may cause skin irritation.
Choice D rationale
Removing the newborn from phototherapy every 2 hours for breastfeeding is recommended. Frequent breastfeeding helps to promote bilirubin excretion and maintain hydration.