A nurse is reinforcing teaching at a prenatal visit about the importance of adequate folic acid intake with a client who is at 12 weeks of gestation. Which of the following client statements indicates an understanding of the teaching?
"It will reduce my baby's risk of having a spinal cord defect."
"It will make my baby's bones strong."
"It will prevent my baby from bleeding."
"It will strengthen my baby's immune system."
The Correct Answer is A
A: Adequate folic acid intake during pregnancy is important for reducing the risk of neural tube defects, including spinal cord defects.
B: Folic acid is important for neural tube development, but it is not specifically related to bone strength.
C: Folic acid does not prevent bleeding in the baby.
D: Folic acid is primarily associated with neural tube development and is not directly related to immune system strength.
Nursing Test Bank
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Related Questions
Correct Answer is D
Explanation
A. Nausea is a common side effect of terbutaline, but it is not typically a cause for concern. It may be managed with measures like taking the medication with food.
B. Tremors are a known side effect of terbutaline. While they may be uncomfortable for the client, they are an expected side effect and not necessarily indicative of a problem requiring immediate intervention.
C. Dizziness can occur as a side effect of terbutaline. It is important to monitor the client for this, but it is not typically a severe side effect that requires immediate reporting to the provider.
D. Crackles (also known as rales) in the lungs suggest the possibility of fluid accumulation, which could be a sign of pulmonary edema. This is a serious concern and should be reported to the provider promptly, as it may require a change in treatment or further evaluation.
Correct Answer is B
Explanation
A. There is no fasting requirement for a nonstress test.
B. The client will press a button whenever they feel the baby move during the test to help correlate fetal movement with changes in the fetal heart rate.
C. A nonstress test is not meant to stimulate contractions. It monitors the fetal heart rate in response to the baby's movements.
D. While the client will be monitored, they are not required to lie flat on their back for the entire duration of the test. They may be in a semi-reclining or comfortable position.
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