Page 143 - ترم ثاني كتاب تمريض صحة الام الكتروني
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            2) SECOND AND THIRD TRIMESTERS:-



                 A - Heart burn:




















                   •  Causes:


                     −  Regurgitation of acidic gastric content in to the esophagus.

                     −  Relaxation of the cardiac  sphincter.

                     −  Decreased GI motility.

                     −  Increased production of  progesterone.


                   •  Nursing Management

                     −  Encourage the woman to eat frequent meals throughout the day .


                     −   Instruct her to avoid over eating as well as spicy, fatty and fried foods.

                     −  Suggest that she remain up right for at least 1 hours after eating.

                 B) Ankle edema:



















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