Which suggestion is most helpful for the pregnant patient who is experiencing heartburn?

Correct Answer: D

Rationale: The correct answer is D because Tums or Rolaids are safe antacids commonly recommended for heartburn during pregnancy. They help neutralize stomach acid and provide relief. Choice A is incorrect as drinking fluids before bedtime can aggravate heartburn. Choice B is incorrect because it's important to eat small, frequent meals to prevent heartburn. Choice C is incorrect as coffee and orange juice can trigger heartburn due to their acidity. Overall, using antacids under healthcare provider guidance is the best option for managing heartburn during pregnancy.

Correct Answer: C

Rationale: The fundal height at 20 weeks gestation should be at the level of the umbilicus. When it is palpated 3 cm below the umbilicus, it is considered lower than normal for gestational age. This finding suggests possible fetal growth restriction or incorrect dating of the pregnancy. It is crucial to monitor closely for fetal well-being and growth. Choice A is incorrect because being 3 cm below the umbilicus is not appropriate for gestational age. Choice B is incorrect as it does not necessarily indicate impending complications, but rather a need for further evaluation. Choice D is incorrect as a fundus higher than normal for gestational age would suggest a larger-than-expected fetus or multiple gestation.

Correct Answer: C

Rationale: The correct answer is C. Observation of posture and body mechanics is essential in assessing lower back pain in a pregnant patient to identify any potential causes related to the growing uterus and changes in body mechanics. Palpation of the lumbar spine (Choice A) may provide some information but does not address the underlying issue. Exercise pattern and duration (Choice B) are important but not the priority in this scenario. Ability to sleep for at least 6 hours uninterrupted (Choice D) is not directly related to assessing lower back pain.

Correct Answer: D

Rationale: The correct answer is D: "If you are traveling by car, stop to walk every 1 to 2 hours." This is the best advice because it promotes circulation and reduces the risk of blood clots during long car rides. Walking helps prevent stiffness and discomfort. A: "Only travel by car during pregnancy" is incorrect because other modes of transportation can be safe as well. B: "Avoid use of the seat belt during the third trimester" is incorrect as wearing a seat belt is crucial for the safety of both the mother and the baby in case of an accident. C: "You can travel by plane until your 38th week of gestation" is incorrect as most airlines have restrictions on flying after 36 weeks due to the risk of preterm labor.

Correct Answer: D

Rationale: The correct answer is D: Primigravida. In medical terminology, "primigravida" is used to describe a woman who is pregnant for the first time. The prefix "primi-" means first, and "gravida" refers to pregnancy. In this case, the patient is in her 28th week of her first pregnancy, making her a primigravida. A: Multigravida refers to a woman who has been pregnant two or more times. B: Multipara refers to a woman who has given birth two or more times. C: Nullipara refers to a woman who has never given birth. Therefore, the correct choice is D because it specifically describes the patient's current pregnancy status as a first-time pregnant woman.