The patient at 20 weeks' gestation has had an ultrasound that ...

[krzymel]

The patient at 20 weeks' gestation has had an ultrasound that revealed a neural tube defect in her fetus. The patient's hemoglobin level is 8.5. The nurse should include which statement when discussing these findings with the patient?
 
  1. Your low iron intake has caused anemia, which leads to the neural tube defect.
  2. You should increase your vitamin C intake to improve your anemia.
  3. You are too picky about food. Your poor diet caused your baby's defect.
  4. You haven't had enough folic acid in your diet. You should take a supplement.

Question 2

A new mother inquires about postpartum resources. What resources can the nurse suggest to provide assistance to the new mother? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
 
  1. Breastfeeding support groups
  2. Meals on Wheels
  3. Lactation consultants
  4. Postpartal classes
  5. Internet sites

[epscape]

Answer to Question 1

4
Rationale 1: Low hemoglobin does not cause neural tube defects.
Rationale 2: Vitamin C will increase iron absorption, but this patient is deficient in folic acid.
Rationale 3: Therapeutic communication requires that the nurse avoid judgmental statements.
Rationale 4: Folic acid deficiency can cause both neural tube defects and megaloblastic anemia, in which the red cells are immature and abnormally large.

Answer to Question 2

1,3,4,5
Rationale 1: Support groups provide an opportunity for parents to interact with one another and share information.
Rationale 2: Meals on Wheels is a program that serves older adults, not new mothers and their children.
Rationale 3: Lactation consultants are helpful for women who are having breastfeeding problems or concerns.
Rationale 4: Such classes offer chances for the new mother to socialize, share concerns, and receive encouragement.
Rationale 5: The nurse's role is to direct the new mother to reliable Internet sites.

[krzymel]

Excellent

[at]

Gracias!