The high school nurse is teaching a healthy living class to high ...

[Mr. Wonderful]

The high school nurse is teaching a healthy living class to high school seniors. One student asks why she should take folic acid now when she is not planning to become pregnant.
 
  Which response by the nurse is the most appropriate?
  A.
  It is a good habit to get into while you are young and can develop good habits.
  B.
  Most people in this country have a serious deficiency of vitamins and folic acid.
  C.
  Neural tube defects occur so early that you might not know you are even pregnant.
  D.
  There are no foods that contain folic acid so you have to take a supplement.

Question 2

An infant born with spina bifida with a repaired myelomeningocele is brought the emergency department, where the parents report that the infant is very fussy and is feeding poorly. Which nursing action takes priority?
 
  A.
  Assess the baby's fontanels for bulging.
  B.
  Attach a cardiac and respiratory monitor.
  C.
  Obtain and document the baby's vital signs.
  D.
  Try feeding the baby with sucrose water.

[srodz]

Answer to Question 1

ANS: C
Neural tube defects (NTDs) generally occur between the 18th and 28th days of pregnancy, often before the woman knows she is pregnant. All women of childbearing age should get 400 g/day of folic acid to help prevent NTDs. It is a good habit to get into prior to contemplating pregnancy, but this answer does not give specific information. Most people do not have a serious deficiency of folic acid; however, pregnant women (and those who could be pregnant) need to have a minimal amount of folic acid. Several foods are good sources of folic acid, including green leafy vegetables, liver, legumes, orange juice, and fortified breakfast cereals; it is also contained in multivitamins.

Answer to Question 2

ANS: A
Poor feeding and irritability are signs of increased intracranial pressure (ICP) in infants. A child with spina bifida is at risk for hydrocephalus, which can lead to increased ICP. A corroborating sign would be bulging fontanels. The nurse should quickly palpate the infant's fontanels. Monitoring the child and obtaining vital signs are important actions too, but palpating the fontanels can be done quickly as the nurse handles the child and performs other procedures. The nurse should not attempt to feed this baby now.

[Mr. Wonderful]

Correct answers!

[srodz]

Great! Please up vote