Page 118 - كتاب تمريض نسا الاكتروني

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2. Heartburn

3. Fear of gaining weight

a. Counsel and reassure patient. Explain distribution of weight gained during

pregnancy.

b. Emphasize the importance of weight gain. Explore the body image and

acceptability of a large body to the patient, partner, or others

c. Offer the patient a referral to a dietitian or mental health counselor

B. Excessive weight gain: try to determine the reason and treat the patient

accordingly.

- Multiple gestations: Suspect this if there is a sudden or continuous large gain, out

of proportion to the woman body build and rating habits.

- Diabetes

- Edema: Check for other signs of pre-eclampsia.

C. Uncontrolled intake of food

a. Counsel patient on diet, explaining that the baby needs nutritious food in

moderate amounts, not junk foods and fats.

b. Stress the importance of regular exercise in controlling weight gain.

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