A nurse is assisting the nurse manager with an educational session about ways to prevent TORCH infection during pregnancy with a group of newly licensed nurses. Which of the following statements by one of the session participants indicates understanding?
"A client should avoid consuming undercooked meat while pregnant
"Obtain an immunization against rubella early in pregnancy
“Seek prophylactic treatment if cytomegalovirus is detected during pregnancy.”
"A client should avoid crowded places during pregnancy."
The Correct Answer is A
A. "A client should avoid consuming undercooked meat while pregnant." Toxoplasmosis, one of the TORCH infections, can be contracted by eating undercooked or raw meat. Avoiding undercooked meat helps prevent this infection, which can cause severe complications for the fetus.
B. "Obtain an immunization against rubella early in pregnancy." Rubella vaccine (part of MMR) is a live virus vaccine and is contraindicated during pregnancy due to the risk of harm to the fetus. Rubella vaccination should be administered before conception or postpartum.
C. "Seek prophylactic treatment if cytomegalovirus is detected during pregnancy." Currently, there is no prophylactic treatment for cytomegalovirus (CMV) during pregnancy. Prevention focuses on hygiene practices, such as frequent handwashing, especially after handling bodily fluids, to reduce the risk of transmission.
D. "A client should avoid crowded places during pregnancy." While avoiding crowded places may reduce exposure to certain infections, it is not a specific strategy for preventing TORCH infections. Other preventative measures, like avoiding raw meat and practicing good hygiene, are more effective.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. February 11:
The first day of the client’s last menstrual period is May 4.
- Subtract 3 months: May → April → March → February.
- Add 7 days: 4 + 7 = 11.
- The EDD is February 11.
B. April 27: This date is beyond 40 weeks of pregnancy. Using Naegele's rule correctly should result in a February due date, not an April date.
C. February 27: While February is the correct month, this date does not align with Naegele’s Rule because the addition of 7 days to May 4 results in February 11, not February 27.
D. April 11: April 11 places the due date in the wrong month. This choice may result from adding 7 days without adjusting the months correctly when subtracting 3 months.
Correct Answer is A
Explanation
A. Eat foods fortified with folic acid. Folic acid is crucial in the prevention of neural tube defects. Women are advised to consume foods fortified with folic acid (e.g., leafy greens, fortified cereals) and take folic acid supplements.
B. Increase intake of iron. Iron is important for preventing anemia during pregnancy but does not directly affect the risk of neural tube defects.
C. Avoid the use of aspirin. Aspirin use during pregnancy is not linked to neural tube defects. While high doses of aspirin may pose other risks, it is not a factor in preventing neural tube defects.
D. Avoid consumption of alcohol. While avoiding alcohol is important to prevent fetal alcohol syndrome, it does not directly reduce the risk of neural tube defects. Folic acid is the primary preventive measure for neural tube defects.
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