A nurse is reinforcing teaching with a client about how to reduce the risk of giving birth to a newborn who has a neural tube defect. Which of the following instructions should the nurse include in the teaching?
Increase intake of iron.
Avoid consumption of alcohol.
Avoid the use of aspirin.
Eat foods fortified with folic acid.
The Correct Answer is D
Choice A rationale: Increasing the intake of iron is important during pregnancy to prevent anemia, but it is not specifically related to reducing the risk of neural tube defects.
Choice B rationale: Avoiding the consumption of alcohol during pregnancy is essential to prevent fetal alcohol syndrome, but it is not directly related to reducing the risk of neural tube defects.
Choice C rationale: Avoiding the use of aspirin during pregnancy is recommended to reduce the risk of certain complications, but it is not specifically related to reducing the risk of neural tube defects.
Choice D rationale: Eating foods fortified with folic acid is a crucial preventive measure to reduce the risk of neural tube defects. Adequate folic acid intake before and during early pregnancy significantly lowers the risk of these birth defects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: This statement indicates that the client understands the teaching about managing hyperemesis gravidarum. Eating crackers before getting out of bed in the morning is a common strategy to help alleviate morning sickness and hyperemesis gravidarum. Eating small, bland, and easily digestible foods before rising from bed can help prevent nausea and vomiting.
Choice B rationale: Drinking water with meals is not a specific strategy for managing hyperemesis gravidarum. In some cases, consuming liquids with meals might worsen nausea in clients with severe morning sickness.
Choice C rationale: Limiting protein intake is not a recommended strategy for managing hyperemesis gravidarum. Adequate protein intake is essential during pregnancy for proper fetal development.
Choice D rationale: Eating every 6 hours might not be sufficient for managing hyperemesis gravidarum. Frequent, small meals and snacks are often recommended to help manage nausea and vomiting in pregnancy.
Correct Answer is C
Explanation
Choice A rationale: Placing elbow restraints is not a recommended practice for preterm newborns. Restraints are used in some cases to prevent the baby from pulling on tubes or lines, but it is not primarily for energy conservation.
Choice B rationale: While frequent position changes are important to prevent pressure ulcers and promote comfort, they may not necessarily help conserve energy in a preterm newborn.
Choice C rationale: Preterm newborns have limited energy reserves, and conserving energy is essential for their growth and development. Clustering care activities involves combining nursing care tasks to allow for longer periods of uninterrupted rest for the baby. This approach reduces the baby's energy expenditure and promotes better weight gain and stability.
Choice D rationale: While gentle touch and massage can be beneficial for preterm newborns to promote bonding and relaxation, it may not directly conserve energy as cluster care does.
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