252 one tablespoon Del ~Jonte vinegar mixed with 1/2 "tabo'' lukewarm water. 7. 6 For shortness of breath dw-ing the last three months of pregnancy (patient lrns no history or heart problem): 7. 6. 1. Advise patient to asswne a semi-sitting position with tbe back we. l J supported by pino·ws instead of lying flat. 7. 6. 2. Discourage patient from using "bigkis". 7. 7 For crnmps: 7. 7. 1. Rub or gently miissage the affected part. 7. 7. ::!.. Elevatc the feet often. 7. 7. 3. Keep the extremitjes warm. 7. 7. 4. Tnkc milk. 7. S For swelling of the lower extremities: 7. 8. 1. Rest frequently witl1 the legs elevated. lf an activity can he done while sitting down. :,it down "md don·t do it while standing 01· squatting. 7. S. 2.,"'11eoever possible, elevate the legs. 8. o If the patient asks about sexual intercottrse, ·inform her that it is pern1issible but it is advi:,;ed to avoid such an activity daring the last two months of pregnancy lo reduce the chances of premature delivery. 9. 0 Give/prescribe over-the-counter multivitamin and iron preparation especially if lhe AOG is 1uore than 12 weeks. 9. i Give/prescribe iron preparation, specifying accurately the dose and frequency of the intake. 9. 1. 1. Advise lhe patient to take the medicine after meals. 9. 1. 2. Givc nn iron preparation that has Folic Acid especially during the first­ three months of pregnancy. 9. 2 Give/prescribe multivitamin preparation aside from the iron preparatio n. Specify uc:c:urately the dose and frequency of intake. 10. 0 Advise the patient to have a re. gu]arpre-natal check-up using the following PLAN B: schedule : o lo 28 weeks : once a month 29 to 35 weeks : once every two weeks 36 to 40 weeks : once a week The patient can have a more frequent check-up if there are problems. 1. 0 Refor the patient to a doctor within 24 to 48 hours. 2. 0 Determine patient's knowledge on supportive management of the problems presented. 3. 0 Based on 2. 0, do the following supportive managem ent: 3. 1. If there is fever: 3. 1. 1. Give/prescribe over-the-counter medicine for fever, preferably a purely paracetamol preparation, specifying accw·ately the dose and frequency of the intake. a. lfthe pa. tient is allergic to the substance mentioned above, give/ presc1ibe a purely aspirin preparation. b. Advise the patient to take the medicine on a full stomach. 