North American Registry of Midwives (NARM) Practice Exam

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What is a recommended practice to reduce the risk of heartburn?

  1. Eating large meals before bedtime

  2. Chewing food slowly

  3. Consuming carbonated beverages

  4. Lying down immediately after eating

The correct answer is: Chewing food slowly

Chewing food slowly is recommended to reduce the risk of heartburn because it aids in proper digestion and helps the body break down food more effectively. When food is chewed thoroughly, it mixes with saliva, which contains enzymes that initiate the digestive process. This not only helps to reduce the volume of food in the stomach at one time but also minimizes the likelihood of acid reflux, as smaller, more manageable pieces are easier for the stomach to handle and digest. In contrast, consuming large meals before bedtime can increase the pressure in the stomach and promote reflux, while carbonated beverages can lead to bloating and increased gas, further aggravating heartburn. Lying down immediately after eating can cause the stomach's contents to press against the sphincter that separates the esophagus from the stomach, allowing acid to move up into the esophagus and worsen heartburn symptoms. Thus, chewing food slowly stands out as an effective and straightforward practice to help mitigate the occurrence of heartburn.