Question

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

a) I'll lie down right after meals to help with digestion.
b) I'll eat large meals before bedtime to stay full longer.
c) I'll elevate the head of my bed and avoid spicy foods.
d) I'll take antacids with every meal to prevent heartburn.

Answer 1

The true statement that indicates understanding is option c) 'I'll elevate the head of my bed and avoid spicy foods.'

Step-by-step explanation:

Heartburn during pregnancy is a common concern due to hormonal changes and the pressure exerted by the growing uterus on the stomach. Elevating the head of the bed helps to prevent the backflow of stomach acids into the esophagus, reducing heartburn symptoms. Avoiding spicy foods also decreases the risk of acid reflux and heartburn.

In addition to elevating the head of the bed and avoiding spicy foods, it is also recommended to eat smaller meals, decrease portion sizes, and avoid trigger foods such as chocolate, fatty foods, peppermint, coffee, and alcoholic beverages. Taking antacids with every meal is not necessary and should be done as per the healthcare provider's recommendation. Therefore the correct answer is c) 'I'll elevate the head of my bed and avoid spicy foods.'