Author Question: The nurse is obtaining intake information on a new patient being seen for preconception care and ... (Read 32 times)

anjilletteb · **on:** Jun 28, 2018

The nurse is obtaining intake information on a new patient being seen for preconception care and notes a family history of neural tube defects.

What interventions can the nurse suggest to this woman to help prevent neural tube anomalies in a developing fetus? (Select all that apply.)
a.
Avoid drug use.
b.
Follow a low-calorie, low-protein diet.
c.
Take a folic acid supplement every day.
d.
Exercise daily.
e.
Maintain bed rest during the first trimester.

Question 2

What manifestations of increasing ICP in the hydrocephalic child should the nurse be aware of? (Select all that apply.)

a. High-pitched cry
b. Inequality of pupils
c. Bulging fontanelles
d. Diarrhea
e. Hiccups

ebenov · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A, C
The use of drugs during early pregnancy and poor nutrition may contribute to the development of a neural tube defect. The American Academy of Pediatrics (AAP) recommends that all women of childbearing age take a daily multivitamin that contains 0.4 mg of folic acid and continue the intake of folic acid until the twelfth week of pregnancy, when basic neural tube development is completed. Studies have shown that the intake of folic acid before conception dramatically decreases the occurrence of neural tube defects such as spina bifida. Daily exercise and bed rest do not decrease the risk of neural tube anomalies.

Answer to Question 2

ANS: A, B, C
Increased ICP is manifested by high-pitched cry, inequality of pupils, and bulging fontanelles.