A client at 12 weeks gestation during her prenatal visit asks about how to manage heartburn that she has been experiencing recently. What advice should the nurse provide?
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Eat smaller, more frequent meals and avoid lying down after eating.
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Eliminate sources of carbohydrates and stick to a high-protein diet.
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Use over-the-counter antacids as frequently as needed to relieve symptoms.
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Increase the intake of fatty and spicy foods to build tolerance.
Heartburn is a common discomfort during pregnancy and results from hormonal changes that relax the lower esophageal sphincter as well as the upward pressure on the stomach from the growing uterus. Eating smaller, more frequent meals can help reduce stomach acid production, which decreases the risk of heartburn. Avoiding lying down after meals for at least an hour allows gravity to aid digestion and prevents reflux. Fatty and spicy foods can irritate the stomach lining and increase acid production, exacerbating heartburn. Recommending products like antacids should generally be done with caution, as some types may not be suitable during pregnancy and should only be used under the guidance of a healthcare provider. Education surrounding these dietary and lifestyle modifications promotes health and comfort during pregnancy.
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