Nokea
The nurse is teaching a pregnant patient about the importance of folic acid. Which statement by the patient indicates that the teaching has been effective?
- A. Folic acid will help prevent spinal cord defects in my baby.
- B. Folic acid is important for healthy skin development.
- C. Folic acid will help reduce my risk of high blood pressure during pregnancy.
- D. Folic acid helps prevent excessive weight gain during pregnancy.
Correct Answer: A
Rationale: Step 1: Folic acid is crucial for neural tube development in the fetus.
Step 2: Spinal cord defects are a type of neural tube defect.
Step 3: Statement A directly links folic acid to preventing spinal cord defects.
Therefore, choice A is correct as it demonstrates an understanding of the specific benefit of folic acid during pregnancy. Choices B, C, and D are incorrect as they do not accurately reflect the primary role of folic acid in pregnancy.
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A nurse is caring for a pregnant patient who is at 32 weeks gestation and reports frequent headaches and nausea. What should the nurse do first?
- A. Monitor the patient's blood pressure and assess for signs of preeclampsia.
- B. Administer anti-nausea medication and provide comfort measures.
- C. Encourage the patient to rest and drink fluids.
- D. Schedule a follow-up appointment for further evaluation.
Correct Answer: A
Rationale: The correct answer is A: Monitor the patient's blood pressure and assess for signs of preeclampsia. At 32 weeks gestation, headaches and nausea could be symptoms of preeclampsia, a serious condition in pregnancy. Monitoring blood pressure is crucial as preeclampsia is characterized by high blood pressure. Assessing for signs of preeclampsia, such as proteinuria or visual disturbances, is essential for timely intervention. Administering anti-nausea medication or encouraging rest without addressing the possibility of preeclampsia could delay necessary treatment. Scheduling a follow-up appointment without immediate assessment could also put the patient at risk if preeclampsia is present.
Which of the following exercises should be taught to a pregnant woman who complains of backaches?
- A. Kegeling.
- B. Pelvic tilting.
- C. Leg lifting.
- D. Crunching.
Correct Answer: B
Rationale: Pelvic tilting exercises help to alleviate backaches by strengthening the abdominal and lower back muscles. Kegeling, leg lifting, and crunching are not specifically targeted at relieving backaches.
The nurse is caring for a pregnant patient who is 32 weeks gestation and is concerned about the safety of taking prescription medications. Which response by the nurse is most appropriate?
- A. You should avoid all prescription medications during pregnancy.
- B. Consult with your healthcare provider to ensure the medications are safe for you and your baby.
- C. Take your prescription medications as directed without any concerns during pregnancy.
- D. You can take your prescription medications as long as they are not over-the-counter products.
Correct Answer: B
Rationale: The correct answer, B, is appropriate because it emphasizes the importance of consulting with a healthcare provider to ensure the safety of prescription medications during pregnancy. This step is crucial as healthcare providers can assess the risks versus benefits of medication use in pregnancy and provide personalized recommendations. Choice A is incorrect as some medications may be necessary for the health of the mother and baby. Choice C is incorrect as not all prescription medications are safe during pregnancy. Choice D is incorrect as the safety of prescription medications in pregnancy is not solely determined by whether they are over-the-counter or not. Consulting with a healthcare provider is the best course of action to ensure the well-being of both the mother and the baby.
During a prenatal visit, a gravid client is complaining of ptyalism. Which of the following nursing interventions is appropriate?
- A. Encourage the woman to brush her teeth carefully.
- B. Advise the woman to have her blood pressure checked regularly.
- C. Encourage the woman to wear supportive hosiery.
- D. Advise the woman to avoid eating rare meat.
Correct Answer: A
Rationale: Ptyalism (excessive salivation) can lead to oral hygiene issues, so encouraging careful tooth brushing is appropriate. Blood pressure checks, wearing supportive hosiery, and avoiding rare meat address other concerns but are unrelated to ptyalism.
A client makes the following statement after finding out that her pregnancy test is positive, 'This is not a good time. I am in college and the baby will be due during final exams!' Which of the following responses by the nurse would be most appropriate at this time?
- A. I’m absolutely positive that everything will turn out all right.
- B. I suggest that you e-mail your professors to set up an alternate plan.
- C. It sounds like you’re feeling a little overwhelmed right now.
- D. You and the baby’s father will find a way to get through the pregnancy.
Correct Answer: C
Rationale: Acknowledging the client's feelings of being overwhelmed is the most supportive response. Offering solutions or reassurance without first addressing the client's emotions may not be as effective.