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.

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A rationale: While gestational hypertension can have various implications for the mother and baby, it is not directly associated with an increased risk of postpartum hemorrhage.
Choice B rationale: The birth of a small-for-gestational-age newborn may have certain implications, but it is not directly associated with an increased risk of postpartum hemorrhage.
Choice C rationale: Precipitous birth, which refers to an extremely rapid labor and delivery lasting less than 3 hours, is a risk factor for postpartum hemorrhage. Rapid delivery can lead to incomplete uterine contractions and inadequate uterine tone, increasing the risk of excessive bleeding after birth.
Choice D rationale: A two-vessel umbilical cord, also known as a single umbilical artery, may be associated with certain fetal anomalies but is not directly related to an increased risk of postpartum hemorrhage.

A. Maternal pelvis is gynecoid. B. Fetal lie is longitudinal. C. Fetal position is persistent occiput posterior. D. Fetal attitude is in general flexion.

Correct Answer is C

Explanation

Choice A rationale: A gynaecoid-shaped pelvis is considered the most favorable for childbirth and is not a contributing cause of difficult, prolonged labor.
Choice B rationale: The fetal lie refers to the orientation of the baby's spine in relation to the mother's spine. A longitudinal lie (baby's spine parallel to the mother's spine) is the typical and preferred position for birth and is not a cause of difficult, prolonged labor.
Choice C rationale: A persistent occiput posterior (OP) position, where the baby's head faces the mother's abdomen instead of her back, is a known contributing factor to difficult and prolonged labor. The baby's position in the birth canal can affect the progress and ease of labor.
Choice D rationale: Fetal attitude refers to the position of the baby's body parts in relation to each other. General flexion, where the baby's head is flexed forward and the limbs are flexed, is the normal attitude for birth and does not contribute to difficult, prolonged labor.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client who experienced a vaginal birth 2 hr ago. The nurse should identify which of the following findings places the client at risk for a postpartum hemorrhage.

Correct Answer is C

Explanation

A nurse is assisting with the care of a client who is in labor. The client's labor is difficult and prolonged and she reports a severe backache. Which of the following factors is a contributing cause of difficult, prolonged labor?

Correct Answer is C

Explanation

A nurse is contributing to the plan of care for a preterm newborn. To help the newborn conserve energy, which of the following actions should the nurse recommend?

A nurse is reinforcing teaching with a newly licensed nurse about the purpose of an indirect Coombs test. Which of the following statements should the nurse include in the teaching?

A nurse is collecting data from a newborn who has respiratory distress syndrome and is experiencing respiratory acidosis. Which of the following risk factors predisposes the newborn to respiratory difficulties?

A nurse is performing Leopold maneuvers on a client who is in labor and determines the fetus is in an RSA position. Which of the following fetal presentations should the nurse document in the client's medical record?

A nurse is caring for a client who is at 34 weeks of gestation and has a suspected placenta previa. Which of the following actions should the nurse take?

A nurse is reinforcing teaching with a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse recognizes that which of the following is the most common risk factor for a placental abruption?

A nurse is assisting in the care of a client who is scheduled for a cesarean birth based on the fetal lungs having reached maturity. Which of the following findings indicates that the fetal lungs are mature?