In planning care for a 32-year-old pregnant client with worsening GERD in her second trimester, which teaching would be inappropriate?
A)Eat smaller and more frequent meals.
B)Avoid foods that are known to be triggers for GERD.
C)Proton pump inhibitors (PPIs)are safe to use, with the exception of omeprazole.
D)The use of antacids containing sodium bicarbonate is recommended.

Question

Quizplus · Accepted Answer

A)Antacids that contain sodium bicarbonate can lead to fluid retention, and pregnant women should avoid using them. Antacids that contain calcium carbonate, which do not cause fluid retention, may be an appropriate alternative. For clients with mild-to-moderate GERD, lifestyle modifications may be enough to control symptoms. Eating small, frequent meals and avoiding foods that trigger symptoms may help. The majority of PPIs are considered safe for use by pregnant women; the exception is omeprazole. The FDA has concerns about fetal safety associated with maternal omeprazole use.
B)Antacids that contain sodium bicarbonate can lead to fluid retention, and pregnant women should avoid using them. Antacids that contain calcium carbonate, which do not cause fluid retention, may be an appropriate alternative. For clients with mild-to-moderate GERD, lifestyle modifications may be enough to control symptoms. Eating small, frequent meals and avoiding foods that trigger symptoms may help. The majority of PPIs are considered safe for use by pregnant women; the exception is omeprazole. The FDA has concerns about fetal safety associated with maternal omeprazole use.
C)Antacids that contain sodium bicarbonate can lead to fluid retention, and pregnant women should avoid using them. Antacids that contain calcium carbonate, which do not cause fluid retention, may be an appropriate alternative. For clients with mild-to-moderate GERD, lifestyle modifications may be enough to control symptoms. Eating small, frequent meals and avoiding foods that trigger symptoms may help. The majority of PPIs are considered safe for use by pregnant women; the exception is omeprazole. The FDA has concerns about fetal safety associated with maternal omeprazole use.
D)Antacids that contain sodium bicarbonate can lead to fluid retention, and pregnant women should avoid using them. Antacids that contain calcium carbonate, which do not cause fluid retention, may be an appropriate alternative. For clients with mild-to-moderate GERD, lifestyle modifications may be enough to control symptoms. Eating small, frequent meals and avoiding foods that trigger symptoms may help. The majority of PPIs are considered safe for use by pregnant women; the exception is omeprazole. The FDA has concerns about fetal safety associated with maternal omeprazole use.

In Planning Care for a 32-Year-Old Pregnant Client with Worsening