The nurse is providing preconception counseling.
Which supplement should the nurse recommend to help prevent the occurrence of anencephaly?

Iron.

Calcium.

Vitamin D.

Folic acid.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Iron is essential for preventing anemia, particularly in pregnant women, but it does not prevent neural tube defects like anencephaly. Iron supports overall maternal and fetal health but is not specific to preventing congenital anomalies.

Choice B rationale

Calcium is crucial for fetal bone development and maternal bone health, but it does not play a role in preventing anencephaly. Adequate calcium intake is important during pregnancy but is not linked to neural tube defect prevention.

Choice C rationale

Vitamin D is important for bone health and immune function but does not prevent neural tube defects. Sufficient vitamin D levels are necessary for the mother's and baby's health but are not related to anencephaly prevention.

Choice D rationale

Folic acid is the correct choice as it has been shown to prevent neural tube defects, including anencephaly and spina bifida. It is recommended that women of childbearing age take folic acid supplements before conception and during early pregnancy to reduce the risk of these congenital anomalies.

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Correct Answer is C

Explanation

Choice A rationale

The ointment used in newborns does not dilate the pupil. It is not intended to aid in the visualization of the red reflex. The red reflex can be observed without the need for any ointment.

Choice B rationale

The ointment does not prevent herpes infections. It is specifically used to prevent bacterial eye infections caused by organisms such as Neisseria gonorrhoeae and Chlamydia trachomatis, which can be present in the birth canal.

Choice C rationale

The ointment will prevent eye infections. This is the correct explanation. The eye ointment, typically erythromycin or tetracycline, is applied to prevent ophthalmia neonatorum, a type of conjunctivitis caused by bacteria that the newborn might be exposed to during delivery.

Choice D rationale

The ointment will not clear the infant's vision. Newborns naturally have somewhat blurry vision at birth, and the ointment does not enhance or clear their vision. Its primary purpose is to prevent bacterial infections.

A. Collect a urine sample to screen for protein. B. Ask about a history of delivering large babies. C. Examine the client for pedal edema. D. Establish the frequency of headaches.

Correct Answer is A

Explanation

Choice A rationale

Collecting a urine sample to screen for protein is essential as proteinuria is a key indicator of preeclampsia, a condition characterized by high blood pressure and potential organ damage during pregnancy. Early detection is vital to manage the condition and prevent complications.

Choice B rationale

Asking about a history of delivering large babies (macrosomia) is not immediately relevant to the current symptoms of headache and elevated blood pressure, which are more indicative of hypertensive disorders rather than previous birth weights.

Choice C rationale

Examining the client for pedal edema is important but not the immediate priority. While edema can be associated with preeclampsia, the presence of proteinuria and elevated blood pressure are more critical indicators that need to be addressed first.

Choice D rationale

Establishing the frequency of headaches is useful information but not the immediate priority. The combination of an excruciating headache and elevated blood pressure necessitates a more urgent assessment for preeclampsia, starting with a urine sample for protein.

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The nurse is providing preconception counseling. Which supplement should the nurse recommend to help prevent the occurrence of anencephaly?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A father watching the admission of his newborn to the nursery notices that eye ointment is placed in the infant's eyes. He asks the nurse what is the purpose of the ointment. Which response by the nurse will best explain the purpose for administering the ointment?

Correct Answer is C

Explanation

A client who is 37 weeks gestation comes to the women's health clinic reporting an excruciating headache. On examination, the nurse determines the client has an elevated blood pressure. Which action should the nurse implement next?

Correct Answer is A

Explanation

A nurse is speaking with a client who is addicted to heroin and who just learned that she is pregnant. The client states, "I just started taking methadone. Is there anything else I can do to make sure my baby is healthy?" Which information should the nurse provide?

A mother brings her male preschooler to the clinic because he has had diarrhea, vomiting, and high fevers for the past three days. The child begins to cry and cling to his mother when the nurse enters the examination room. Which action should the nurse implement to get the child to cooperate?

A 34-week gestation multigravida comes to the clinic for her bimonthly appointment. Which assessment finding should the nurse report to the healthcare provider (HCP)?

The nurse who is working on a pediatric unit receives a shift report for four neonates with congenital heart defects. The neonate with which report requires the most immediate intervention?

A client who is 38 weeks pregnant is concerned her baby might get a communicable disease before any immunizations are given. Which physiological mechanism should the nurse use when responding to the mother's concerns?

A preschool-aged child who is experiencing respiratory distress is brought to the emergency department by the parents.The child is anxious, has a temperature of 102.8°F (39.3°C), and is drooling from the mouth while leaning forward when sitting. Which action should the nurse implement next?

Which drink choice on a hot day indicates to the nurse that an adolescent with sickle cell anemia understands dietary considerations related to the disease?

The nurse is providing preconception counseling.
Which supplement should the nurse recommend to help prevent the occurrence of anencephaly?