The client asks about nutritional needs before and during ...

[s.tung]

The client asks about nutritional needs before and during pregnancy. The nurse responds by telling the client she should increase her intake of which of the following food groups in order to meet the requirements for folic acid?
 
  1. Meats, fish, and poultry
  2. A mix of vegetables and fiber
  3. Oranges and green leafy vegetables
  4. Foods containing low fat and high protein

Question 2

A baby was born prematurely during the sixth month of pregnancy. The new parents question the nurse about the hair all over their baby. The nurse's best response is:
 
  1. All babies are hairy. It is more noticeable on preemies.
  2. Fine downy hair helps keep the baby insulated in utero.
  3. You should be more concerned with the baby's respiratory function.
  4. Don't worry about how the baby looks. All preemies look funny.

[dlook33]

Answer to Question 1

Correct Answer: 3
Rationale 1: Protein sources are important for overall health but do not increase intake of folic acid.
Rationale 2: Folic acid is important to prevent neural tube defects in the fetus. The neural tube defect occurs in the first few weeks of fetal development. Folic-rich foods include green leafy vegetables, oranges, and dried beans. Clients should also be encouraged to take a vitamin supplement that contains folic acid. Vegetables in general and fiber are important for overall health but do not increase intake of folic acid.
Rationale 3: Folic acid is important to prevent neural tube defects in the fetus. The neural tube defect occurs in the first few weeks of fetal development. Folic-rich foods include green leafy vegetables, oranges, and dried beans.
Rationale 4: Protein sources and low-fat foods are important for overall health but do not increase intake of folic acid.

Answer to Question 2

Correct Answer: 2
Rationale 1: This option while not incorrect doesn't adequately address the parent's question.
Rationale 2: Lanugo, a fine downy hair, covers the body of the baby and usually disappears by the time gestation is full term. Since this baby was born early, the lanugo is more noticeable and will disappear as the baby nears full term.
Rationale 3: This option dismisses the parent's question.
Rationale 4: This option is insensitive and does not answer the parent's question.

[s.tung]

Gracias!

[rachel]

Excellent