Question

The LPN reinforces instructions for a pregnant client who reports heartburn, especially at night. What statement by the client indicates understanding of the instructions?

a) I'll lie down right after eating.
b) I'll avoid spicy and acidic foods.
c) I'll skip meals to reduce stomach acid.
d) I'll take an antacid only when I feel severe pain.

Answer 1

The understanding of the instructions to alleviate heartburn during pregnancy is indicated by the client's intention to avoid spicy and acidic foods. This includes making dietary changes and adopting a lifestyle that minimizes the risk of GERD and heartburn.

Step-by-step explanation:

The LPN reinforces instructions for a pregnant client who reports heartburn, especially at night. The statement by the client that indicates an understanding of the instructions is b) I'll avoid spicy and acidic foods. This is because certain foods and beverages can contribute to GERD and exacerbate heartburn symptoms, including chocolate, fatty foods, peppermint, coffee, and alcoholic beverages. Additionally, eating smaller meals and avoiding eating right before bedtime can help decrease the amount and acidity of reflux.

Other lifestyle changes to alleviate heartburn during pregnancy can include eating more slowly, refraining from lying down shortly after eating, and potentially the use of antacids to neutralize excess stomach acid if necessary. It is important for the client to understand that skipping meals is not advisable, as this does not prevent heartburn and might lead to other problems.