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
Choice A rationale:
Maternal serum alpha-fetoprotein (MSAFP) determination is not used to screen for ABO incompatibility. It is specifically used to screen for certain fetal abnormalities.
Choice B rationale:
MSAFP determination is not used to screen for gestational diabetes. It is primarily used for detecting certain fetal abnormalities.
Choice C rationale:
The MSAFP test is a prenatal screening test that measures the level of alpha-fetoprotein in the mother's blood. Abnormal levels of alpha-fetoprotein may indicate a neural tube defect, such as spina bifida, or other chromosomal abnormalities.
Choice D rationale:
MSAFP determination is not used to screen for fetal maturity. It is used to assess the risk of certain fetal abnormalities.
Correct Answer is ["B","C","D","E"]
Explanation
Choice A rationale: Cephalopelvic disproportion is a condition where the baby's head is too large or the mother's pelvis is too small for a vaginal delivery. Amniocentesis does not provide information about this condition.
Choice B rationale: Amniocentesis can be used to detect neural tube defects such as spina bifida and anencephaly.
Choice C rationale: Rh incompatibility occurs when the mother is Rh-negative, and the fetus is Rh-positive. This can lead to hemolytic disease of the newborn (HDN) if untreated. While Rh incompatibility can be detected through blood tests (maternal blood), amniocentesis is typically not used to diagnose this condition.
Choice D rationale: Amniocentesis can be used to determine the fetal gender by analyzing the DNA in the amniotic fluid. This is not the primary purpose of amniocentesis, but it can certainly identify the gender, especially in cases where this information is needed for medical reasons, such as gender-linked genetic disorders.
Choice E rationale: Amniocentesis is commonly used to screen for chromosomal abnormalities such as Down syndrome (trisomy 21) and other genetic conditions.
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