A pregnant patient enjoys exercising at a local health spa once a week.
Which patient comment indicates to the nurse that more health teaching is needed?

Choice A rationale

Follicle Stimulating Hormone (FSH) is involved in the maturation of ovarian follicles and the menstrual cycle. While it is crucial for fertility, it is not directly responsible for maintaining pregnancy once implantation occurs.

Choice B rationale

Progesterone is essential for maintaining pregnancy. It prepares the endometrium for implantation and supports the early stages of pregnancy by preventing uterine contractions that could dislodge the embryo.

Choice C rationale

Human chorionic gonadotropin (HCG) supports the corpus luteum in early pregnancy, ensuring the continued production of progesterone and estrogen. However, implantation failure is less likely due to a lack of HCG.

Choice D rationale

Prolactin plays a role in lactation and has some influence on reproductive health, but it is not primarily responsible for implantation. A lack of prolactin is less likely to be the cause of failed implantation. .

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.