A woman asks her nurse what she can do before she begins trying ...

[justinmsk]

A woman asks her nurse what she can do before she begins trying to get pregnant to help her baby, since she is prone to anemia. The nurse correctly advises her to:
 
  1. Get pregnant, then start iron supplementation.
  2. Add more carbohydrates to her diet.
  3. Begin taking folic acid supplements daily.
  4. Have a hemoglobin baseline done now so her progress can be followed.

Question 2

A woman is experiencing preterm labor. The client asks why she is on betamethasone. Which is the nurse's best response?
 
  1. This medication will halt the labor process until the baby is more mature.
  2. This medication will relax the smooth muscles in the infant's lungs so the baby can breathe.
  3. This medication is effective in stimulating lung development in the preterm infant.
  4. This medication is an antibiotic that will treat your urinary tract infection, which caused preterm labor.

[aadams68]

Answer to Question 1

3
Rationale 1: Waiting until one is pregnant to add iron or evaluate a diet is not being proactive.
Rationale 2: Adding carbohydrates to her diet will not help to prevent anemia.
Rationale 3: One of the most common problems in pregnancy is anemia. Folic aciddeficiency anemia can increase the incidence of neural tube defects in a fetus. Taking 400 mcg of folic acid daily will help reduce this incidence.
Rationale 4: Having a hemoglobin baseline done will not help the patient prevent anemia in pregnancy.

Answer to Question 2

3
Explanation: 3. Betamethasone or dexamethasone is often administered to the woman whose fetus has an immature lung profile to promote fetal lung maturation.