Author Question: The pregnant patient states she does not want to take all these supplements. What recommendations ... (Read 17 times)

colton · **on:** Jun 27, 2018

The pregnant patient states she does not want to take all these supplements. What recommendations could the nurse make for the patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Select all that apply. 1. Folic acid has been found to be essential for minimizing the risk of neural tube defects.
2. You do not have to take these supplements if you think you are healthy enough.
3. Most women do not have adequate intake of iron pre-pregnancy, and iron needs increase with pregnancy.
4. These medications do the same thing. I will call your physician to cancel one of your medications.
5. You should take the folic acid, but the vitamins are not that important..

Question 2

The client with insulin-dependent type 2 diabetes and an HbA1c of 5.0 is planning to become pregnant soon. What anticipatory guidance should the nurse provide this client?

1. Insulin needs decrease in the first trimester and usually begin to rise late in the first trimester as glucose use and glycogen storage by the woman and fetus increase.
2. The risk of ketoacidosis decreases during the length of the pregnancy.
3. Vascular disease that accompanies diabetes slows progression.
4. The baby is likely to have a congenital abnormality because of the diabetes.

raili21 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

1,3
Rationale 1: Research has shown such a strong correlation between decreased folic acid/folate intake and the risk of neural tube defects that all women thinking of becoming pregnant are encouraged to begin taking a 400 mcg supplement 2 months before attempting conception.
Rationale 2: This answer is incorrect because prenatal vitamins with iron and folic acid are necessary.
Rationale 3: Iron is essential because most pregnant women do not have adequate intake of iron before pregnancy.
Rationale 4: It is not the nurse's role to tell the physician to cancel any prescribed medication.
Rationale 5: Both folic acid and other vitamins and minerals are necessary for a successful pregnancy and a healthy baby.

Answer to Question 2

1
Explanation: 1. Insulin needs decrease in the first trimester and usually begin to rise late in the first trimester as glucose use and glycogen storage by the woman and fetus increase.