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 A
Explanation
Choice A rationale
The recommended time for rubella immunization for a woman who does not have immunity and is in the first trimester of pregnancy is shortly after giving birth. This is because the rubella vaccine is a live vaccine and is not recommended during pregnancy due to the potential risk to the fetus.
Choice B rationale
The rubella vaccine should not be given immediately during pregnancy due to the potential risk to the fetus.
Choice C rationale
While it’s ideal for a woman to be immune to rubella before she gets pregnant, if she finds out during pregnancy that she’s not immune, the vaccine should be given after delivery.
Choice D rationale
The rubella vaccine is not recommended during the third trimester of pregnancy due to the potential risk to the fetus.
Correct Answer is A
Explanation
The correct answer is choice a. Excessive uterine enlargement.
Choice A rationale:
Hydatidiform mole, also known as a molar pregnancy, often presents with excessive uterine enlargement. This is due to the abnormal growth of trophoblastic tissue, which can cause the uterus to be larger than expected for gestational age.
Choice B rationale:
An irregular fetal heart rate is not typically associated with a hydatidiform mole because there is usually no viable fetus present in this condition.
Choice C rationale:
A rapid decline in human chorionic gonadotropin (hCG) levels is not expected. Instead, hCG levels are usually abnormally high due to the trophoblastic tissue proliferation.
Choice D rationale:
Profuse, clear vaginal discharge is not a characteristic finding of a hydatidiform mole. Instead, vaginal bleeding or discharge that may be brownish and resemble prune juice is more common.
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