When educating a teenager about ovulation, the nurse would include that ovulation is triggered by a surge in which hormone?

Choice A rationale

Iron is an important nutrient during pregnancy as it helps to make the extra blood (hemoglobin) you need to supply oxygen to the baby. However, while iron is important for both mother and baby during pregnancy, it does not specifically help to prevent neural tube defects in the fetus.

Choice B rationale

Calcium is crucial during pregnancy as it helps to build your baby’s bones and teeth. However, calcium does not specifically help to prevent neural tube defects.

Choice C rationale

Vitamin C is important for the growth and repair of tissues in all parts of your body during pregnancy. It helps the body to make collagen, an important protein used to make skin, cartilage, tendons, ligaments, and blood vessels. However, Vitamin C does not specifically help to prevent neural tube defects.

Choice D rationale

Folic acid is the synthetic form of folate, a type of B vitamin. It’s very important for all people, including pregnant women. It can help prevent major birth defects of the baby’s brain and spine (neural tube defects). Women who are planning to become pregnant should take a multivitamin with 400 micrograms of folic acid every day.

Choice A rationale

A 38-year-old client who reports smoking one pack of cigarettes every day. Oral contraceptives are contraindicated in women who are over 35 years old and smoke. This is because the combination of oral contraceptives and smoking increases the risk of serious cardiovascular side effects, such as blood clots, stroke, or heart attack. These risks are even higher in women over 35 years old who smoke. Therefore, this client should not receive oral contraceptives due to the increased risk of these serious side effects.

Choice B rationale

A 28-year-old client who has a history of pelvic inflammatory disease. While pelvic inflammatory disease (PID) can lead to complications such as infertility and ectopic pregnancy, it is not a contraindication for the use of oral contraceptives. In fact, oral contraceptives can provide some protection against PID by causing changes in the cervix that make it more resistant to infection.

Choice C rationale

A 32-year-old client who has benign breast disease. Benign breast disease is not a contraindication for the use of oral contraceptives. While some studies have suggested a slightly increased risk of breast cancer in women who have used oral contraceptives, the risk appears to decrease over time once the contraceptives are stopped.

Choice D rationale

A 26-year-old client who has migraine headaches at the start of each menstrual cycle. While migraines can be a contraindication for the use of oral contraceptives, it generally applies to migraines with aura. Women who have migraines with aura have an increased risk of stroke when using oral contraceptives. However, for women who have migraines without aura, the benefits of using oral contraceptives usually outweigh the risks.