What preventive measure is most appropriate for a primigravid client at 30 weeks with heartburn?

For a primigravid client at 30 weeks experiencing heartburn, the most appropriate preventive measure is to eat smaller and more frequent meals throughout the day. This approach helps manage heartburn by reducing the volume of food in the stomach at any given time, thereby decreasing the likelihood of pressure on the lower esophageal sphincter. Less pressure can contribute to a reduced risk of acid reflux, which is often exacerbated by larger meals that distend the stomach.

Smaller meals are easier for the body to digest and contribute to overall comfort, which is particularly important in pregnancy when hormonal changes and physical factors can provoke or worsen gastrointestinal symptoms like heartburn. Additionally, smaller meals can help maintain stable blood sugar levels and provide regular energy throughout the day.

The other options, while they may seem appealing, do not effectively address the issue of heartburn. For instance, taking baking soda with water before meals can increase sodium intake and potentially lead to other complications, especially if done frequently. Decreasing fluid intake can lead to dehydration and nutritional deficiencies and does not necessarily alleviate heartburn, as adequate hydration can actually aid digestion. Drinking several cups of regular tea could introduce more acid or caffeine, which might worsen heartburn symptoms instead of providing relief.

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