Which suggestion is appropriate for the pregnant client who is ...

[Tirant22]

Which suggestion is appropriate for the pregnant client who is experiencing heartburn?
 
  a. Drink plenty of fluids at bedtime.
  b. Eat only three meals a day so the stomach is empty between meals.
  c. Drink coffee or orange juice immediately on arising in the morning.
  d. Use Tums or Alkamints to obtain relief, as directed by the health care provider.

Question 2

While providing education to a primiparous client regarding the normal changes of pregnancy, what is important for the nurse to explain about Braxton Hicks contractions?
 
  a. These contractions may indicate preterm labor.
  b. These are contractions that never cause any discomfort.
  c. Braxton Hicks contractions only start during the third trimester.
  d. These occur throughout pregnancy, but you may not feel them until the third trimester.

[fur]

Answer to Question 1

ANS: D
Antacids high in calcium (e.g., Tums, Alkamints) can provide temporary relief. Fluids overstretch the stomach and may precipitate reflux when lying down. Instruct the woman to eat five or six small meals per day rather than three full meals. Coffee and orange juice stimulate acid formation in the stomach.

Answer to Question 2

ANS: D
Throughout pregnancy, the uterus undergoes irregular contractions called Braxton Hicks contractions. During the first two trimesters, the contractions are infrequent and usually not felt by the woman until the third trimester. Braxton Hicks contractions do not indicate preterm labor. Braxton Hicks contractions can cause some discomfort, especially in the third trimester. Braxton Hicks contractions occur throughout the whole pregnancy.