A client in her first trimester of pregnancy presents with the complaint of persistent nausea throughout the day. The nurse suggests which intervention to best deal with this problem?
1. Eat large meals frequently throughout the day.
2. Consume noncarbonated beverages.
3. Increase foods with a high fat content.
4. Eat dry toast and crackers before getting out of bed.
4
Rationale: In the first trimester of pregnancy, nausea affects 70% to 85% of all women. It has been found to be helpful to incorporate dry carbohydrates such as: crackers, toast, rice, and plain noodles in small amounts throughout the day. In addition, some research suggests that incorporation of carbohydrates can help to increase blood glucose levels that may lead to nausea. Consuming small frequent meals and carbonated beverages have been shown to be effective strategies when dealing with nausea in early pregnancy. High-fat foods can further slow the movement of food through the GI tract and should be avoided unless tolerated and appropriate for weight loss goals.
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a. "Do you grind your teeth at night?" b. "What time do you usually fall asleep?" c. "Have you noticed ringing in your ears?" d. "Are you ever dizzy when you are lying down?"