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


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.

Nursing

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