By Geri Morgan CNM ND, Carole Hamilton MA CNM
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Example text
5. Try small amounts of apple juice, grape juice, or carbonated beverages when nausea develops between meals. 6. Avoid greasy and fried foods. 7. Eat lightly seasoned foods; avoid excessive use of pepper, garlic, chili, or other strong spices. 8. Drink peppermint tea or eat peppermint candies. 9. Take 5 mL of Emetrol every 15 minutes but no more than five doses. 10. Take 50 to 100 mg of vitamin B6 (pyridoxine) twice a day. 11. Take 20 mg of Unisom twice a day. 12. Take 1/2 tablet of Unisom and 25 mg of vitamin B6 together (Bendictin) twice a day.
Edema: Check for other signs of preeclampsia. 4. Idiosyncratic weight gain: For example, consider a history of large weight gain with previous pregnancies, which was lost after delivery. 5. 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. c. If the patient desires, suggest a self-help, weight-control group, such as the TOPS Club (Take Pounds Off Sensibly), Overeaters Anonymous, and so forth.
Physical assessment 1. Weeks of gestation: Review dates if necessary. 2. Weight 3. Blood pressure 4. Fundal height 5. Fetal heart rate 6. Presenting part 7. Urine dipstix 8. Vaginal exams: Perform at the following times: a. 46 b. At 36 to 37 weeks if unsure of presentation c. At 40 weeks and beyond d. At other times as appropriate: (1) To check for labor (2) History of threatened premature labor (3) History of cone biopsy or other cervical surgery (4) Twin gestation—examine every 2 weeks after 24 weeks (5) Any other medical indication (6) At the patient's request, as long as membranes are intact V.