The prenatal nurse has reviewed a patient's 3-day diet recall and ...

[wenmo]

The prenatal nurse has reviewed a patient's 3-day diet recall and notes that the patient typically eats a deli meat sandwich or hot dog, chips, and an apple for lunch.
 
  Breakfast consists of cereal, milk, and juice; and dinner contains meat, a starch, vegetables, and a salad. What action by the nurse is most important? .
  A.
  Advise the woman to obtain more calories from protein.
  B.
  Assess the woman's knowledge of proper food handling.
  C.
  Discuss adding fish such as tuna or swordfish to the diet.
  D.
  Weigh the woman and document her weight in the chart.

Question 2

A student nurse asks the faculty about the importance of preconception counseling. Which response by the faculty is best?
 
  A.
  It is the best time to find any conditions that could have a negative effect on a pregnancy.
  B.
  It's a good time to educate women about birth control options before they need them.
  C.
  Reproductive care is an important part of any woman's health care.
  D.
  The Centers for Disease Control mandates that all women get preconception care.

[Hdosisshsbshs]

Answer to Question 1

ANS: B
Pregnant women should be taught proper food handling to prevent foodborne illnesses. Deli meats, hot dogs, and luncheon meats should be stored at 40  or less, heated before eating, and consumed within 4 days. Tuna should be eaten in moderation and fish such as shark, swordfish, king mackerel, and tilefish should be avoided in pregnancy because of mercury poisoning. Promoting safety is a priority. The woman may or may not need more calories from protein. Obtaining the patient's weight and documentation are important prenatal activities, but are not the best answer because the nurse needs to assess the woman's knowledge and practice of safe food handling first.

Answer to Question 2

ANS: A
Preconception counseling is an ideal time to identify conditions (physical, psychosocial, environmental, or social) that could lead to a future negative pregnancy outcome. The patient can be educated about the risks and assist in developing a plan to mitigate or avoid them. Providing birth control options can be an important part of preconception care, but this answer is too limited to be the best choice. Stating that reproductive care is important is vague. A goal of Healthy People 2020 is to increase the number of women getting preconception and prenatal care.

[wenmo]

TYSM

[alexanderhamilton]

Excellent