What action should the nurse recommend to a client at 27 weeks' gestation to alleviate night heartburn?

Elevating the head of the bed is a highly effective action to help alleviate night heartburn, particularly in someone who is 27 weeks pregnant. As the pregnancy progresses, hormonal changes and the growing uterus can lead to increased pressure on the stomach, which may contribute to the regurgitation of stomach acids into the esophagus, commonly known as heartburn.

By elevating the head of the bed, gravity assists in keeping stomach contents from flowing back up the esophagus while the client sleeps. This position can provide significant relief from nocturnal symptoms of heartburn and is a non-pharmacological intervention that is generally safe for both the client and the fetus.

While taking antacids before bed can also provide relief for heartburn, the elevation of the bed may offer a more sustainable solution that does not rely on medication. It’s important to note that avoiding spicy foods and drinking herbal tea might help with overall digestive health but might not be effective in providing immediate relief from heartburn symptoms, especially at night.