Author Question: A woman who is pregnant tells the nurse she has frequent heartburn in spite of eating small meals ... (Read 51 times)

ericka1 · **on:** Jul 23, 2018

A woman who is pregnant tells the nurse she has frequent heartburn in spite of eating small meals slowly; avoiding greasy, gas-forming foods, and remaining upright for 30 minutes after eating.

The nurse will recommend which over-the-counter product?
a. Alka-Seltzer
b. Magaldrate
c. Pepcid
d. TUMS

Question 2

A pregnant woman reports having constipation and has tried dietary changes without success. What will the nurse recommend?

a. Bisacodyl (Dulcolax)
b. Mineral oil
c. Psyllium (Metamucil)
d. Senna (Senokot)

jamesnevil303 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: B
If a pregnant patient does not respond to nonpharmacologic therapy, antacids are first-line therapy, and patients should choose a nonsystemic low-sodium product such as hydroxymagnesium aluminate (Magaldrate). Alka-Seltzer contains baking soda and can be harmful during pregnancy. A histamine2 receptor antagonist, such as Pepcid, may be used, but only if recommended by the provider. TUMS contain calcium, which can be constipating during pregnancy.

Answer to Question 2

ANS: C
Bulk-forming laxatives, like psyllium, should be tried first because they are not systemically absorbed. Bisacodyl and senna have systemic effects. Mineral oil can reduce the absorption of fat-soluble vitamins.