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 A

Explanation

Choice A rationale
Strong rectal pressure indicates advanced labor and potential imminent delivery, requiring immediate assessment of cervical dilation to ensure appropriate intervention and prevent complications.
Choice B rationale
Encouraging the patient to push without confirming cervical dilation could lead to cervical trauma or delivery complications if dilation is not complete, making this action inappropriate.
Choice C rationale
Notifying the MD without first assessing cervical dilation may cause unnecessary delay in intervention, potentially leading to complications during labor and delivery if the patient is fully dilated.
Choice D rationale
Offering the patient the bedpan when she feels strong rectal pressure can increase the risk of delivering the baby in an inappropriate setting, as the rectal pressure suggests imminent birth.

A. Paceritation. B. Shoulder dystocia. C. Infection. D. Meconium aspiration.

Correct Answer is C

Explanation

Choice A rationale
Paceritation is a term not commonly recognized in obstetrics. It lacks clinical relevance and does not correlate with increased risk during labor when membranes rupture.
Choice B rationale
Shoulder dystocia occurs during delivery when the baby's shoulder gets stuck after the head is delivered. It is unrelated to ruptured membranes and does not increase the associated risk.
Choice C rationale
Infection risk increases significantly after membranes rupture due to potential bacterial entry into the uterine cavity. Normal WBC count is 4,000-11,000 cells/mcL.
Choice D rationale
Meconium aspiration occurs when the newborn inhales meconium-stained amniotic fluid, typically in post-term pregnancies or fetal distress. It is not directly linked to ruptured membranes.

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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

The nurse is caring for a laboring woman, G3 P2, who was examined 15 minutes ago. Her cervix was 8 cm dilated and 90% effaced. She now states she is feeling strong pressure in her rectum and wants to move her bowels. Which of the following action should the nurse perform first?

Correct Answer is A

Explanation

When planning the care for a laboring woman whose membranes have ruptured, the nurse recognizes that the woman’s risk for has increased.

Correct Answer is C

Explanation

A patient is admitted to the Labor & Delivery unit at 39 weeks. She is 5/60/-2. After several hours she is at 5/70/-2. What can be given to help augment her labor?

The nurse places a Toco (tocodynamometer) on a client admitted in early labor. The nurse explains to the client that this device provides an accurate assessment of which of the following:

A woman is in the second stage of labor with a strong urge to push. Which of the following actions by the nurse is appropriate at this time?

The fetal monitor tracing shown is associated with:

As relates to the structure and function of the placenta, the nurse should be aware that.

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

Along with gas exchange and nutrient transfer, the placenta produces many hormones necessary for normal pregnancy. These include (select all that apply)

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: