A client reports that she and her husband are considering starting a family within the next year.
The nurse should advise the client to increase her intake of folic acid:
Immediately.
One week before her period.
When pregnancy is confirmed.
If she misses her period.
The Correct Answer is A
Choice A rationale
Increasing folic acid intake immediately is recommended because it helps prevent neural tube defects, which can occur very early in pregnancy, often before a woman knows she is pregnant.
Choice B rationale
Starting folic acid intake one week before her period is not sufficient. Folic acid needs to be taken consistently before conception and during early pregnancy to be effective.
Choice C rationale
Waiting until pregnancy is confirmed may be too late to prevent neural tube defects, which form in the early weeks of pregnancy.
Choice D rationale
If she misses her period, it might already be too late to prevent neural tube defects. Consistent intake of folic acid before and during early pregnancy is essential.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
Choice A rationale
Do not gain more than 25 pounds in pregnancy due to body image issues is incorrect. Gaining an appropriate amount of weight based on individual health and pregnancy needs is important, and it should not be restricted based on body image concerns.
Choice B rationale
Continue to take your prenatal vitamin every day is correct. Prenatal vitamins are essential in providing the necessary nutrients for both the mother and developing fetus, including folic acid, iron, and calcium.
Choice C rationale
Avoid alcohol, tobacco, and drugs is correct. These substances can have harmful effects on fetal development and should be avoided to ensure a healthy pregnancy.
Choice D rationale
Do not eat more than 12 ounces of low mercury fish each week is correct. While fish can be a good source of protein and omega-3 fatty acids, it's important to limit intake of fish that may contain higher levels of mercury to avoid potential harm to the fetus.
Choice E rationale
Increase caloric intake by 100-200 a day is correct. Pregnant teens need additional calories to support their own growth as well as that of the fetus, but the increase should be moderate and balanced with nutritional needs. .
Correct Answer is D
Explanation
Choice A rationale
The fetal heartbeat can be heard with a Doppler at the fourth week of gestation is incorrect. At this early stage, the embryonic heart has only just begun to form, and its activity cannot be detected by Doppler.
Choice B rationale
The fetal heartbeat can be heard with a Doppler at the sixth week of gestation is incorrect. Although the heart begins to beat around this time, it is usually too faint to be detected by Doppler.
Choice C rationale
The fetal heartbeat can be heard with a Doppler at the seventh week of gestation is incorrect. It remains challenging to detect the fetal heartbeat this early with standard Doppler equipment.
Choice D rationale
The fetal heartbeat can be heard with a Doppler at the twelfth week of gestation is correct. By the end of the first trimester, the fetal heart is sufficiently developed and strong enough to be detected using Doppler ultrasound, allowing healthcare providers to monitor fetal well-being.
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