A woman attends a prenatal visit and is told to start taking a folic acid supplement.

The Nurse Practitioner explains that this is to prevent:

To reduce risk of preeclampsia.

To improve nutrition.

To prevent patent ductus arteriosus.

Neural tube defects such as spina bifida.

Answer and Explanation

The Correct Answer is D

Choice A rationale
Folic acid does not reduce the risk of preeclampsia. Instead, it is crucial for preventing neural tube defects in the developing fetus during early pregnancy.
Choice B rationale
While folic acid can improve overall nutrition, its primary importance during pregnancy is in preventing neural tube defects by aiding in proper neural development.
Choice C rationale
Folic acid does not prevent patent ductus arteriosus. It is specifically recommended to prevent neural tube defects like spina bifida by supporting proper neural tube closure.
Choice D rationale
Folic acid is essential for preventing neural tube defects such as spina bifida. It helps ensure the proper closure of the neural tube during early fetal development, reducing the risk of these defects.

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Correct Answer is C

Explanation

Choice A rationale
Testing the fluid with nitrazine paper can confirm membrane rupture but is not the first priority. Assessing the fetal heart rate is crucial to ensure fetal well-being immediately after membrane rupture.
Choice B rationale
Documenting the time of rupture is important for clinical records but is not the first priority. Immediate assessment of fetal status takes precedence to detect any distress.
Choice C rationale
Monitoring the fetal heart rate and pattern immediately after membrane rupture is essential to ensure the fetus is not in distress. It helps detect any complications like cord prolapse.
Choice D rationale
Notifying the physician or midwife is necessary but not the first priority. Ensuring fetal well-being through heart rate monitoring is the immediate concern following membrane rupture.

A. The cervix is effaced 3 cm, it is dilated 30%, and the presenting part is 2 cm above the ischial spines. B. The cervix is 3 cm dilated, it is effaced 30%, and the presenting part is 2 cm above the ischial spines. C. The cervix is effaced 3 cm, it is dilated 30%, and the presenting part is 2 cm below the ischial spines. D. The cervix is dilated 3 cm, it is effaced 30%, and the presenting part is 2 cm below the ischial spines.

Correct Answer is B

Explanation

Choice A rationale
The cervix is measured in dilation, not effacement, in centimeters. Effacement is expressed in percentage, indicating the thinning of the cervix.
Choice B rationale
The cervix is 3 cm dilated, 30% effaced, and the presenting part is 2 cm above the ischial spines. This assessment provides a clear status of labor progress.
Choice C rationale
The presenting part being below the ischial spines would be recorded with a positive station, indicating descent into the pelvis, unlike this assessment.
Choice D rationale
The cervix is assessed for dilation in centimeters and effacement in percentage, with station indicating the relationship to the ischial spines.

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A woman attends a prenatal visit and is told to start taking a folic acid supplement. The Nurse Practitioner explains that this is to prevent:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A multipara in latent phase of labor experiences spontaneous rupture of membranes while walking. Which is the first priority nursing action?

Correct Answer is C

Explanation

The nurse has received a report regarding her patient in labor. The woman’s last vaginal examination was recorded as 3 cm, 30%, and -2. The nurse’s interpretation of this assessment is that:

Correct Answer is B

Explanation

The nurse caring for a client in labor observes the external fetal monitor tracing showing that there are accelerations with moderate variability. Which of the following actions is most appropriate?

The nurse caring for the laboring woman should know that meconium is produced by:

After the nurse completes nutritional counseling for a pregnant woman, she asks the client to repeat the instructions to assess the client’s understanding. Which statement indicates that the client understands the role of protein in her pregnancy?

The nurse caring for the laboring woman should know that meconium is produced by:

The fetal monitor tracing shown is associated with:

Which of the following findings on fetal monitor tracing would be of most concern to the nurse?

Which factor would alert the nurse that a pregnant woman is at risk for the development of toxoplasmosis?

A new father wants to know what medication was put into his infant’s eyes and why it is needed. How does the nurse explain the purpose of the erythromycin ophthalmic ointment?

A woman attends a prenatal visit and is told to start taking a folic acid supplement.

The Nurse Practitioner explains that this is to prevent: