A pregnant client complains of frequent heartburn. The client states that she has never had these symptoms before and wonders why this is occurring now. The best response that the nurse can provide is:
a. examine her dietary intake pattern and tell her to avoid certain foods.
b. tell her that this is a normal finding during early pregnancy and will resolve as she gets closer to term.
c. explain to the client that physiologic changes caused by the pregnancy make her more likely to experience these types of symptoms.
d. refer her to her health care provider for additional testing because this is an abnormal finding.
ANS: C
The presentation of heartburn is a normal abnormal finding that can occur in pregnant woman because of relaxation of the lower esophageal sphincter as a result of the physiologic effects of pregnancy. Although foods may contribute to the heartburn, the client is asking why this presentation is occurring, so the nurse should address the cause first. It is independent of gestation. There is no need to refer to the physician at this time because this is a normal abnormal finding. There is no evidence of complications ensuing from this presentation.
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