A nurse is reinforcing teaching with a client who is in the first trimester of pregnancy about increasing their intake of foods that are high in folate.
Which of the following should the nurse recommend as the food with the highest folate content?

Choice A rationale

Chemotherapy is not a standard treatment for a molar pregnancy unless malignancy is suspected or confirmed. It is usually monitored with regular HCG levels and follow-up.

Choice B rationale

Attending a support group is crucial for emotional support and ensuring that the client has access to resources and information about recovery and future pregnancy planning.

Choice C rationale

Home palliative services are not typically required after a molar pregnancy unless there are specific complications that necessitate such care. The focus is generally on monitoring HCG levels and follow-up.

Choice D rationale

An amniocentesis is not needed after a molar pregnancy. Follow-up includes HCG level monitoring to ensure all molar tissue is gone and to watch for malignancy, not amniocentesis.

High blood pressure during pregnancy can indicate preeclampsia, a potentially dangerous condition requiring prompt intervention. Headache is a common symptom associated with preeclampsia and can indicate worsening condition.

1. Addressing blood pressure is crucial to prevent complications such as eclampsia or organ damage.
2. Monitoring the headache is necessary because it may signal increased intracranial pressure or severe hypertension, both of which need immediate attention.
3. Elevated liver enzymes (AST 200 units/L) indicate potential liver involvement, a severe aspect of preeclampsia known as HELLP syndrome.
4. Keeping a close eye on liver enzymes helps in assessing the progression and severity of preeclampsia and potential liver damage.

Heart rate and respiratory rate are within normal ranges, so they are less immediately concerning. Oxygen saturation is also normal, indicating adequate oxygenation. The headache and elevated liver enzymes are more urgent indicators of severe preeclampsia complications.