A client reports that she and her husband are considering starting a family within the next year.
The nurse should advise the client to increase her intake of folic acid:
Immediately.
One week before her period.
When pregnancy is confirmed.
If she misses her period.
The Correct Answer is A
Choice A rationale
Increasing folic acid intake immediately is recommended because it helps prevent neural tube defects, which can occur very early in pregnancy, often before a woman knows she is pregnant.
Choice B rationale
Starting folic acid intake one week before her period is not sufficient. Folic acid needs to be taken consistently before conception and during early pregnancy to be effective.
Choice C rationale
Waiting until pregnancy is confirmed may be too late to prevent neural tube defects, which form in the early weeks of pregnancy.
Choice D rationale
If she misses her period, it might already be too late to prevent neural tube defects. Consistent intake of folic acid before and during early pregnancy is essential.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Calling the healthcare provider delays immediate intervention needed to alleviate the client's symptoms of dizziness and nausea due to supine hypotensive syndrome. Quick repositioning is crucial to improve venous return and alleviate the symptoms.
Choice B rationale
Elevating the head of the bed will not relieve the pressure on the inferior vena cava caused by the supine position. This intervention does not address the underlying cause of the client's symptoms.
Choice C rationale
Encouraging deep breathing is unlikely to resolve the symptoms of supine hypotensive syndrome, which is caused by the compression of the vena cava by the gravid uterus when lying supine. This intervention does not address the physiological cause.
Choice D rationale
Turning her to her side relieves the pressure on the inferior vena cava, improving venous return and increasing blood pressure. This is the correct initial action to address the symptoms of supine hypotensive syndrome.
Correct Answer is A
Explanation
Choice A rationale
Smoking and heavy alcohol intake can indeed affect the quantity of sperm. Both substances can reduce sperm count and motility, leading to lower fertility rates in men.
Choice B rationale
This statement is incorrect. Both smoking and heavy alcohol use negatively impact fertility by reducing sperm quality and quantity.
Choice C rationale
Waiting for a semen analysis without addressing the known effects of smoking and alcohol is not the best approach. Immediate lifestyle changes can improve fertility outcomes.
Choice D rationale
Any amount of smoking can affect sperm quality and fertility. It's not limited to smoking more than one pack a day. Reducing or eliminating smoking can improve fertility.
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