A nurse is providing nutritional advice to a woman considering pregnancy.
What information should the nurse include to minimize the risk of having a newborn with a neural tube defect?
Increase intake of iron-rich foods.
Limit alcohol consumption.
Avoid foods containing aspartame.
Consume foods fortified with folic acid.
The Correct Answer is D
Choice A rationale
While iron-rich foods are important for overall health and preventing anemia, they do not specifically minimize the risk of having a newborn with a neural tube defect.
Choice B rationale
Limiting alcohol consumption is crucial during pregnancy as it can lead to fetal alcohol syndrome. However, it does not specifically target the prevention of neural tube defects.
Choice C rationale
Aspartame, an artificial sweetener, has been a topic of debate regarding its safety during pregnancy. While it’s generally considered safe in moderation, avoiding foods containing aspartame does not specifically prevent neural tube defects.
Choice D rationale
Consuming foods fortified with folic acid is the most effective way to prevent neural tube defects. Folic acid is a B vitamin that is crucial for proper brain and spine development in the early stages of pregnancy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is Choice D
Choice A rationale: Lanugo, very fine hairs, begin to cover the baby's body around week 20, not week 36. These hairs help protect the skin and usually disappear before birth. By week 36, the lanugo has mostly disappeared, and the baby is almost fully developed.
Choice B rationale: The sex of the baby is determined at conception based on the chromosomes carried by the sperm and egg. However, the external genitalia do not become distinguishable until around week 12 of pregnancy, making week 8 too early for sex determination.
Choice C rationale: Most women first feel fetal movements, known as quickening, between weeks 18 and 22, not week 24. This can vary based on individual factors, but week 24 is generally later than the typical range for first fetal movements.
Choice D rationale: The baby's heartbeat can usually be heard using a Doppler stethoscope by around 12 weeks of pregnancy. This marks a significant milestone and reassures expectant parents about their baby's health and development at this early stage
Correct Answer is C
Explanation
Choice A rationale
Abdominal pain during pregnancy can be a normal part of the process as the body changes to accommodate the growing baby. However, severe abdominal pain is not normal and could be a sign of a serious condition such as preterm labor or an ectopic pregnancy.
Choice B rationale
Ballottement refers to a medical sign used in the physical examination of a pregnant woman to detect pregnancy. It involves a quick upward pushing against the uterus and feeling for return impact from the fetus. However, it is not a symptom to report during pregnancy.
Choice C rationale
A sudden gush of fluid from the vagina can be a sign of rupture of membranes, which can lead to premature birth if it occurs before 37 weeks of gestation. This is a critical symptom to report as it may indicate that labor is imminent.
Choice D rationale
Vaginal bleeding can be a sign of several serious conditions in pregnancy such as placenta previa or placental abruption. However, light spotting is common in early pregnancy.
Choice E rationale
Quickening refers to the first movement of the fetus felt by the mother, usually between 18 and 25 weeks of gestation. It is not a symptom to report during pregnancy.
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