During a prenatal visit, a 25-year-old pregnant woman in the third trimester reports frequent constipation. Which nursing suggestion would be most helpful?

During a prenatal visit, a 25-year-old pregnant woman in the third trimester reports frequent constipation. Which nursing suggestion would be most helpful?

• A. Eat at least four pieces of fruit daily.
• B. Increase protein intake to 100 g daily.
• C. Limit fluids to reduce edema.
• D. Begin a daily laxative regimen.

Answer: (A)

Constipation in late pregnancy is managed best with lifestyle changes that increase stool bulk and hydration. Increasing daily fruit intake provides a practical source of dietary fiber and water, helping to soften stool and stimulate peristalsis as the pregnancy hormones slow intestinal motility and the enlarging uterus narrows the colon. Four pieces of fruit daily can meaningfully boost fiber intake and contribute to overall hydration, making bowel movements easier without introducing medications. The other options don’t address the problem as effectively. Raising protein alone doesn’t add bulk to stool or water content. Limiting fluids is protective against edema in some contexts but actually worsens constipation and dehydration risk, so it’s not advised. Beginning a daily laxative regimen, especially without medical supervision, can lead to dependence, electrolyte issues, and potential fetal concerns; first-line management in pregnancy emphasizes dietary and lifestyle adjustments, with laxatives reserved for specific indications under provider guidance.

Constipation in late pregnancy is managed best with lifestyle changes that increase stool bulk and hydration. Increasing daily fruit intake provides a practical source of dietary fiber and water, helping to soften stool and stimulate peristalsis as the pregnancy hormones slow intestinal motility and the enlarging uterus narrows the colon. Four pieces of fruit daily can meaningfully boost fiber intake and contribute to overall hydration, making bowel movements easier without introducing medications.

The other options don’t address the problem as effectively. Raising protein alone doesn’t add bulk to stool or water content. Limiting fluids is protective against edema in some contexts but actually worsens constipation and dehydration risk, so it’s not advised. Beginning a daily laxative regimen, especially without medical supervision, can lead to dependence, electrolyte issues, and potential fetal concerns; first-line management in pregnancy emphasizes dietary and lifestyle adjustments, with laxatives reserved for specific indications under provider guidance.