A nurse is reinforcing teaching with a client who is in the first trimester of pregnancy about increasing their intake of foods that are high in folate.
Which of the following should the nurse recommend as the food with the highest folate content?

1/2 cup (4 oz) orange juice.

1 cup cooked spinach.

1 large egg.

1 cup pasta.

None

Answer and Explanation

The Correct Answer is B

Choice A rationale

1/2 cup (4 oz) orange juice provides about 55 micrograms of folate. While it is a good source of vitamin C and other nutrients, it does not contain as much folate compared to leafy greens.

Choice B rationale

1 cup cooked spinach contains approximately 263 micrograms of folate, making it one of the richest sources of this essential vitamin. Folate is crucial for DNA synthesis and cell division, especially during pregnancy.

Choice C rationale

1 large egg contains about 24 micrograms of folate. Although eggs offer several nutrients like protein and vitamins, their folate content is relatively low compared to green vegetables.

Choice D rationale

1 cup pasta has around 102 micrograms of folate, assuming it is enriched pasta. While it contributes to daily folate intake, it does not compare to the high levels found in spinach.

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Correct Answer is {"A":{"answers":"A"},"B":{"answers":"C"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"A"},"G":{"answers":"A"}}

Explanation

Encourage frequent ambulation - Anticipated
- Ambulation can help progress labor and is generally encouraged if there are no contraindications.
Ensure the client maintains a supine position while in bed - Contraindicated
- Supine positioning can decrease uteroplacental blood flow and is generally not recommended during labor.
Check FHR every 30 min - Anticipated
- Regular monitoring of the fetal heart rate is essential to assess fetal well-being during labor.
Perform a Nitrazine test - Anticipated
- Since the client reports a gush of fluid, a Nitrazine test can help confirm whether the membranes have ruptured.
Prepare the client for catheterization - Nonessential
- The client has voided recently and doesn’t indicate difficulty, making catheterization unnecessary at this stage.
Obtain CBC blood sample - Anticipated
- A CBC can provide important information about the client's health status and identify any potential issues, like infection or anemia.
Check the client's temperature every hour - Anticipated
- Regularly monitoring temperature can help detect signs of infection, which is particularly important if the membranes have ruptured.

Intervention	Anticipated	Nonessential	Contraindicated
Encourage frequent ambulation	✔
Ensure the client maintains a supine position while in bed			✔
Check FHR every 30 min	✔
Perform a Nitrazine test	✔
Prepare the client for catheterization		✔
Obtain CBC blood sample	✔
Check the client's temperature every hour	✔

A. Begin each feeding with the same breast as the previous feeding. B. Provide a formula supplement for the last feeding of the day. C. Allow the newborn to empty the first breast before switching sides. D. Offer the newborn 120 mL (4 oz) of water each day.

Correct Answer is C

Explanation

Choice A rationale

Starting each feeding with the same breast can cause engorgement and uneven milk supply.

Choice B rationale

Introducing formula can interfere with breast milk production and breastfeeding success.

Choice C rationale

Ensuring the newborn empties the first breast allows them to receive the nutrient-rich hindmilk, which is crucial for growth.

Choice D rationale

Offering water to a newborn is unnecessary and can interfere with feeding since breast milk or formula provides sufficient hydration. .

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A nurse is reinforcing teaching with a client who is in the first trimester of pregnancy about increasing their intake of foods that are high in folate. Which of the following should the nurse recommend as the food with the highest folate content?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"C"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"A"},"G":{"answers":"A"}}

Explanation

A nurse is reinforcing teaching about breastfeeding with the mother of a newborn.Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

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A nurse is reinforcing teaching with a client who is in the first trimester of pregnancy about increasing their intake of foods that are high in folate.
Which of the following should the nurse recommend as the food with the highest folate content?