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?
1/2 cup (4 oz) orange juice.
1 cup cooked spinach.
1 large egg.
1 cup pasta.
None
None
The Correct Answer is B
Choice A rationale
1/2 cup (4 oz) orange juice provides about 55 micrograms of folate. While it is a good source of vitamin C and other nutrients, it does not contain as much folate compared to leafy greens.
Choice B rationale
1 cup cooked spinach contains approximately 263 micrograms of folate, making it one of the richest sources of this essential vitamin. Folate is crucial for DNA synthesis and cell division, especially during pregnancy.
Choice C rationale
1 large egg contains about 24 micrograms of folate. Although eggs offer several nutrients like protein and vitamins, their folate content is relatively low compared to green vegetables.
Choice D rationale
1 cup pasta has around 102 micrograms of folate, assuming it is enriched pasta. While it contributes to daily folate intake, it does not compare to the high levels found in spinach.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is []
Explanation
An ectopic pregnancy is most likely due to the combination of symptoms: dizziness, pale skin, cool extremities, low blood pressure (86/48 mm Hg), and high heart rate (120/min). The soft and non-tender abdomen with no palpable contractions also suggests an ectopic pregnancy rather than other conditions. The low hematocrit (25%) and hemoglobin (9 g/dL) indicate significant blood loss, a hallmark of ectopic pregnancy.
Administer methotrexate is important to stop the growth of the embryo in an ectopic pregnancy. Insert a large-bore peripheral IV catheter to manage blood loss and prepare for potential surgery.
Monitoring beta human chorionic gonadotropin (hCG) levels is crucial to confirm the diagnosis and monitor treatment response. Platelet count should be monitored due to the risk of bleeding associated with an ectopic pregnancy.
Placenta previa usually presents with painless vaginal bleeding, which is absent in this case. Chorioamnionitis is typically associated with infection signs like fever, uterine tenderness, and elevated white blood cell count, not primarily dizziness and low blood pressure. Cervical insufficiency usually presents with painless cervical dilation, leading to preterm birth, not the acute signs seen here. Vaginal bleeding is a symptom, not a diagnosis, and this client reports no vaginal bleeding.
Correct Answer is C
Explanation
The correct answer is Choice C.
Choice A rationale: Deep-vein thrombosis is not a contraindication for using a diaphragm. The diaphragm does not affect blood clotting mechanisms.
Choice B rationale: Tobacco use is a risk factor for cardiovascular disease but is not a contraindication for diaphragm use.
Choice C rationale: Recurrent urinary tract infections are a contraindication for diaphragm use. The diaphragm can increase the risk of urinary tract infections due to its placement and the need for spermicide, which can disrupt the natural flora of the vagina.
Choice D rationale: A history of positive group B streptococcus B-hemolytic is not a contraindication for diaphragm use. Group B strep colonization is managed with antibiotics during labor, not by contraceptive choice.
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