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.
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Correct Answer is C
Explanation
Choice A rationale
The recommended limit for caffeine intake during pregnancy is generally 200 mg or less per day. Consuming 400 mg of caffeine daily exceeds this recommendation and may increase the risk of adverse pregnancy outcomes.
Choice B rationale
It is recommended to avoid alcohol entirely during pregnancy, as even small amounts can increase the risk of fetal alcohol spectrum disorders and other complications. Therefore, having one alcoholic beverage a week is not considered safe.
Choice C rationale
Drinking at least 8-10 cups of fluid each day is a good practice during pregnancy to maintain adequate hydration, support increased blood volume, and promote overall health. This statement indicates that the client understood the education provided.
Choice D rationale
Pregnant individuals should not decrease their intake of essential nutrients like calcium, magnesium, iron, and vitamin D. These nutrients are important for fetal development and maternal health. Instead, they should ensure they are getting adequate amounts through diet and supplements as recommended by their healthcare provider.
Correct Answer is C
Explanation
Choice A rationale
Allowing the older sibling to hear the baby’s heartbeat at a prenatal visit can help them feel involved and connected to the new baby. This can be a positive experience and does not require follow-up by the nurse.
Choice B rationale
Enrolling the older sibling in a sibling preparation class at the hospital is a good way to prepare them for the arrival of the new baby. These classes often provide valuable information and help older siblings understand what to expect.
Choice C rationale
Bringing the new baby home as a surprise can be problematic. It may cause the older sibling to feel excluded or unprepared for the new addition to the family. It is important to involve the older sibling in the process and prepare them for the changes that will come with the new baby.
Choice D rationale
Allowing the older sibling to pick out a gift for the baby and having a gift for them from the baby can help foster a positive relationship between the siblings. This approach can make the older sibling feel valued and included.