The nurse is providing preconception counseling.
Which supplement should the nurse recommend to help prevent the occurrence of anencephaly?
Iron.
Calcium.
Vitamin D.
Folic acid.
Folic acid.
The Correct Answer is D
Choice A rationale
Iron is essential for preventing anemia, particularly in pregnant women, but it does not prevent neural tube defects like anencephaly. Iron supports overall maternal and fetal health but is not specific to preventing congenital anomalies.
Choice B rationale
Calcium is crucial for fetal bone development and maternal bone health, but it does not play a role in preventing anencephaly. Adequate calcium intake is important during pregnancy but is not linked to neural tube defect prevention.
Choice C rationale
Vitamin D is important for bone health and immune function but does not prevent neural tube defects. Sufficient vitamin D levels are necessary for the mother's and baby's health but are not related to anencephaly prevention.
Choice D rationale
Folic acid is the correct choice as it has been shown to prevent neural tube defects, including anencephaly and spina bifida. It is recommended that women of childbearing age take folic acid supplements before conception and during early pregnancy to reduce the risk of these congenital anomalies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The child’s symptoms suggest epiglottitis, a medical emergency requiring readiness for intubation or tracheotomy to secure the airway. Immediate preparation for these procedures is crucial to prevent airway obstruction and respiratory arrest.
Choice B rationale
Although imaging can provide diagnostic information, it is not the immediate priority. The priority is to secure the airway to prevent acute respiratory failure, making this choice less appropriate.
Choice C rationale
Nebulizer treatments can help with lower airway obstructions but are ineffective for upper airway conditions like epiglottitis. The child’s symptoms indicate upper airway obstruction, making this choice less appropriate.
Choice D rationale
While antibiotics are essential for treating infections causing epiglottitis, the immediate priority is to ensure the airway is not compromised. Securing the airway takes precedence over initiating antibiotic therapy in this acute situation.
Correct Answer is A
Explanation
Choice A rationale
Maternal blood pressure is crucial to monitor post-epidural anesthesia, as hypotension is a common side effect. Prompt detection and management of low blood pressure are vital to ensuring maternal and fetal well-being, making this the most important assessment.
Choice B rationale
Monitoring pain sensation helps determine the effectiveness of the epidural and the level of anesthesia. However, it is secondary to monitoring for hypotension, which can have more immediate and severe consequences.
Choice C rationale
The station of the presenting part is important for labor progression assessment but not as critical as monitoring for hypotension, which can significantly impact both the mother and fetus.
Choice D rationale
Fetal heart rate variability is vital, but immediate maternal hypotension management takes precedence, as it directly affects fetal oxygenation. .
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