The nurse is counseling a young woman who is planning her pregnancy. She asks if there is anything she might do to help prevent birth defects in her unborn child. Which would be an appropriate response to the patient?

a. "There is no way you can prevent a natural condition."
b. "Birth defects only happen occasionally to some people."
c. "Eating a diet rich in iron may prevent or stop birth defects."
d. "Taking multivitamins with folic acid will help prevent birth defects."


ANS: D
There is now a great deal of scientific data that support eating foods high in folic acid or taking a multivitamin with folic acid to protect against certain birth defects.

Nursing

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Which of the following products should a nurse avoid when caring for a child with a latex allergy?

1. Oil-based hand creams 2. Vinyl gloves 3. Polyethylene products 4. Powder-free gloves

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A child who attends church with his parents imitates religious gesture but does not have an understanding of these religious behaviors. The child also asks his parents, "How do you know God exists?

Have you ever seen him?" This child is described as having characteristics associated with which stage of faith development as defined by Fowler? A) Intuitive–Projective Faith B) Mystical–Literal Faith C) Synthetic–Conventional Faith D) Individuative–Reflective Faith

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A nurse is preparing a presentation about the current status of mental health services in the United States. Which statement would the nurse include as the most reflective of this status?

A) "Mental health care in the United States is equally accessible to individuals." B) "Mental illness ranks second in terms of causing disability in comparison." C) "Mental health care primarily focuses on the cure of mental illness." D) "Mental health care services are inadequate and fragmented."

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The goal of antibiotic therapy in a patient with sepsis is to narrow the therapy to one narrow-spectrum antibiotic. What purpose does this goal serve in the patient's care and how does it aid in the prevention of antibiotic resistance?

1. The use of one antibiotic ensures that the prescribed dose will result in serum concentrations that are clinically effective. 2. The use of one antibiotic has been shown to cause less organ dysfunction. 3. The use of one antibiotic reduces mortality in patients with sepsis. 4. The use of one antibiotic limits the cost to the patient.

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