The nurse is providing prenatal counseling to a client who states she consumes a vegan diet. It is important to reinforce in the teaching that this woman supplement which of the following vitamins?
1. B12 (cobalamin)
2. B1 (thiamine)
3. B2 (niacin)
4. B6 (pyridoxine)
1
Rationale: A pregnant woman who consumes exclusively a vegan diet should be encouraged to supplement with vitamin B12. Vitamin B12 (cobalamin) is found most in animal products such as meat, dairy, and eggs. Those consuming a vegan diet do not consume animal products, and the vitamin is not in most nonanimal source, therefore it is recommended that vegan supplement be added. Taking too little of vitamin B12 are susceptible to anemia and nervous system disorders. In addition, vitamin B12 deficiency interferes with the cellular use of folate; supplementation would further reduce the risk of neural tube defects. Vitamins B1 (thiamine) and B6 (pyridoxine) are found in grains and enriched flours. Vitamin B2 (niacin) is found in green leafy vegetables.
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ANS: B Mongolian spots are irregular areas of deep blue pigmentation, which are common variations found in newborns of African, Asian, Native American, or Hispanic descent. Acrocyanosis is cyanosis of the hands and feet; this is a usual finding in infants
a. 60 to 80 beats/min b. 80 to 100 beats/min c. 120 to 140 beats/min d. 160 to 180 beats/min
During the abdominal assessment of an elderly patient, the nurse palpates a mass in the mid-abdomen. What actions should the nurse take? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Percuss the mass. 2. Ask the patient to cough forcefully and reassess. 3. Notify the physician immediately. 4. Auscultate the mass. 5. Ask the patient about any recent pain in the abdomen.
If the fetal head is directed downward in the lower part of the uterus with the occiput on the left anterior side of the maternal pelvis, the position is termed:
a. ROP b. ROA c. LOP d. LOA
The nurse assists the client off the bedpan after defecating. After emptying and cleaning the bedpan, the nurse finds the bedside table is full, and there is no room for storage of the pan. Which action by the nurse is the most appropriate?
1. Store the bedpan under the bed, where it is out of sight. 2. Place the bedpan on the overbed table until creating a space in the bedside table. 3. Place the bedpan on the floor of the bathroom behind or on the side of the toilet, where it is not likely to be tripped over. 4. Remove objects from the bedside stand and return the bedpan to the stand.