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 C
Explanation
A. Supine hypotension typically occurs in the second or third trimester when the gravid uterus compresses the inferior vena cava.
B. Constipation is more common in the second and third trimesters due to hormonal changes and uterine pressure on the intestines.
C. Urinary frequency is common in the first trimester due to hormonal changes and increased blood flow to the kidneys, leading to increased urine production.
D. Heartburn is more prevalent in the second and third trimesters due to relaxation of the lower esophageal sphincter and upward pressure from the growing uterus.
Correct Answer is A
Explanation
Choice A rationale: During phototherapy, it is essential to maintain adequate hydration and nutrition for the newborn. Encouraging frequent breastfeeding helps provide the baby with essential nutrients and fluids, which can be lost due to increased stooling caused by phototherapy.
Choice B rationale: The use of lotion on the newborn's skin during phototherapy is not recommended, as it may interfere with the effectiveness of the light therapy. The skin needs to be exposed to the light for the treatment to work.
Choice C rationale: Monitoring the newborn's blood glucose level is not directly related to phototherapy. Blood glucose monitoring may be necessary for specific medical reasons, but it is not a standard intervention during phototherapy.
Choice D rationale: During phototherapy, the newborn is usually placed in a supine (face-up) position to ensure maximum exposure of the skin to the phototherapy lights. The prone position is not recommended during phototherapy as it may reduce the effectiveness of the treatment.
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