A client presents to the health care clinic for her first prenatal checkup.
What nutritional supplement should the nurse discuss with the client to prevent neural tube defects in the developing fetus?

The correct answer is choice B.

Choice A rationale:

Cabbage leaves have been used for many years for relief of breast engorgement. They can be crushed slightly until the juice is visible and then chilled in the refrigerator before applying to the breasts.

Choice B rationale:

Applying hot packs during feeding can actually increase blood flow and make engorgement worse. Cold packs should be used after feeding to help reduce swelling.

Choice C rationale:

Applying ice packs after feeding can help reduce swelling and provide relief from engorgement.

Choice D rationale:

Frequent breastfeeding can help to relieve engorgement. The breasts should be emptied completely at each feeding.

The correct answer is choice A.

Choice A rationale:

A headache is a common symptom of severe preeclampsia due to increased blood pressure in the brain.

Choice B rationale:

The presence, not absence, of clonus (a series of involuntary muscular contractions and relaxations) is a sign of severe preeclampsia.

Choice C rationale:

Oliguria, not polyuria, is a symptom of severe preeclampsia due to decreased renal perfusion.

Choice D rationale:

Tachycardia is not typically associated with preeclampsia. It could be a sign of other complications.