A pregnant client asks the nurse if she should take vitamin ...

[Alygatorr01285]

A pregnant client asks the nurse if she should take vitamin supplements regularly. The nurse knows that the most frequently recommended supplements that are difficult to obtain by diet alone are
 
  a. calcium and vitamin B c. iron and folic acid
  b. calcium and vitamin C d. vitamin C and zinc

Question 2

A nursing history on a 16-year-old female reveals that the adolescent takes a multivitamin with 0.5 mg of fluoride and 0.4 mg of folic acid each day. The concern the nurse should bring to the attention of the physician is the:
 
  1. Presence of fluoride in the multivitamin.
  2. Amount of fluoride in the multivitamin, which is too low. It should be 1.0 mg each day.
  3. Intake of folic acid.
  4. Need for a daily iron tablet.

[samiel-sayed]

Answer to Question 1

C
Because of the risk of neural tube defects related to insufficient folic acid intake and increased vascular volume, folic acid and iron, respectively, need to be supplemented in the diet of pregnancy. Adequate amounts of calcium and vitamin B, C, and zinc can be obtained through diet.

Answer to Question 2

1
Rationale:
1. Fluoride supplementation is not recommended for teenagers. Fluoride supplementation should be stopped at 14 years old.
2. Fluoride supplementation is not recommended for teenagers. Fluoride supplementation should be stopped at 14 years old.
3. Folic acid is recommended for all women of childbearing age to prevent neural tube defects.
4. There are no data to support iron recommendations for the client in this scenario.