A pregnant woman complains of heartburn during her third trimester. Which combination of management strategies is most appropriate for this minor disorder?
Consuming small frequent meals and avoiding spicy foods
Heartburn in late pregnancy is caused by a lax lower oesophageal sphincter plus a gravid uterus pushing on the stomach.
Standard advice: eat small frequent meals, avoid spicy and fatty foods, avoid lying down for 1-2 hours after eating and sleep with the head of the bed raised.
Carbonated drinks, large meals, lying down right after eating, caffeine and skipping dinner all worsen reflux and are not recommended.
Hence, Consuming small frequent meals and avoiding spicy foods.
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Important Questions from Midwifery and Obstetrical Nursing
A 29-year-old woman presents with primary infertility and regular cycles. Her hysterosalpingography reveals bilateral tubal blockage. Which investigation should be prioritized next for management?
During infertility assessment, a female is diagnosed with Asherman's syndrome. What is the primary mechanism by which this condition causes infertility?
Which hormone fluctuation is primarily linked to premenstrual syndrome symptoms?
A 30-year-old pregnant woman with hyperemesis gravidarum is at risk for Wernicke's encephalopathy. Which vitamin supplement is essential in her treatment plan?
During assessment, a midwife observes a blood-tinged mucus discharge, known as the 'show,' in a pregnant woman. What is the significance of this finding?
