To minimize heartburn, the pregnant patient should: a. Take ...

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To minimize heartburn, the pregnant patient should:
 
  a. Take Alka Seltzer before each meal.
  b. Avoid foods high in protein.
  c. Sit up for 30 minutes after eating.
  d. Eat a snack before bedtime.

Question 2

A teaching plan for self-care during pregnancy should include that:
 
  a. Tub baths may cause infections because bath water enters the vagina.
  b. Pregnancy is a good time to improve fitness and lose weight.
  c. Hot tubs should be avoided because increased body temperature decreases placental blood flow.
  d. Sexual intercourse should be stopped after the fifth month of pregnancy.

[Anna]

Answer to Question 1

ANS: C
Heartburn is caused by the gastric contents flowing back into the esophagus. Sitting up for 30 minutes after meals reduces the backflow. Greasy or gas-forming foods are more likely to contribute to heartburn than high-protein foods. Alka Seltzer is not recommended because it is high in sodium and may increase fluid retention.

Answer to Question 2

ANS: C
If the body temperature rises above 38 C (100.4 F), blood is shunted to the mother's skin and muscles, which decreases circulation to the fetus. Tub baths are not contraindicated unless membranes are ruptured or the mucous plug has been expelled. The goal of exercise during pregnancy should be maintenance of fitness, not improvement of fitness or weight loss. Unless there is a risk for preterm labor, or a rupture of membranes has occurred or labor begun, there is no valid reason to limit sexual activity in a healthy pregnancy.

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TYSM

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