For the pregnant patient who is a vegan, what combination of foods will the nurse advise to meet the nutritional needs for all essential amino acids?

Correct Answer: C

Rationale: The correct answer is C (Grains and legumes) because when combined, they provide all essential amino acids needed for a vegan pregnant patient. Grains are low in lysine but high in methionine, while legumes are high in lysine but low in methionine. By consuming both, the patient can achieve a complete protein profile. Choice A (Eggs and beans) is incorrect as vegans do not consume eggs. Choice B (Fruits and vegetables) lacks adequate protein and essential amino acids. Choice D (Vitamin and mineral supplements) is important for overall health but does not provide the necessary amino acids.

Correct Answer: D

Rationale: The correct answer is D. Spinach, orange juice, and fortified bran flakes are high in folic acid, which is essential for pregnant women to prevent neural tube defects in the fetus. Spinach is rich in folate, the natural form of folic acid. Orange juice is often fortified with folic acid, and fortified bran flakes also contain high levels of folic acid. A, B, and C are incorrect choices because they do not contain foods that are particularly high in folic acid. While peaches, yogurt, tofu, strawberries, milk, tuna, asparagus, lemonade, and chicken breast are all nutritious choices, they are not as rich in folic acid as the foods listed in option D. It is crucial for the patient to focus on foods with high folic acid content to support a healthy pregnancy.

Correct Answer: C

Rationale: The correct answer is C: 'Try eating peanut butter on whole wheat bread right before going to bed.' This recommendation is based on the fact that consuming a small snack high in protein and complex carbohydrates before going to bed can help stabilize blood sugar levels and reduce morning sickness symptoms in pregnant women. Peanut butter provides protein and whole wheat bread provides complex carbohydrates, which can help alleviate nausea and vomiting. Choice A is incorrect because asking about cheese does not address the patient's symptoms or provide any practical guidance for managing morning sickness. Choice B is incorrect because increasing the number of meals may not necessarily alleviate morning sickness and could potentially exacerbate symptoms. Choice D is incorrect because suggesting that eating enough throughout the day will prevent sickness oversimplifies the issue and does not offer targeted advice for managing morning sickness.

Correct Answer: C

Rationale: The correct answer is C) Traditional hospital birth. In a traditional hospital birth setting, the separation of parent and infant can occur due to various hospital protocols and procedures. For example, in some hospitals, the baby may be taken to a nursery for monitoring or care after birth, limiting immediate parent-infant interaction. This separation can impact early bonding, breastfeeding initiation, and overall parental involvement in newborn care. Option A) Birth center and Option B) Home birth typically promote increased parent-infant interaction as they often emphasize family-centered care and encourage parents to be actively involved in the birthing process. Birth centers and home births usually support immediate skin-to-skin contact, early breastfeeding, and rooming-in practices, all of which enhance parent-infant bonding. Option D) Labor, birth, and recovery room is not the correct answer as this setting is designed to promote family-centered care and encourage parent-infant interaction. In this setting, parents are typically encouraged to stay together with their newborn to facilitate bonding and care continuity. In an educational context, it is important for prenatal nurse educators to understand the different childbirth settings and their impact on parent-infant interaction. By discussing these options with expectant parents, educators can help them make informed decisions about where they would like to give birth based on their preferences for parent-infant bonding and involvement in the early postpartum period.

Correct Answer: C

Rationale: In the context of maternal and reproductive health clients, teaching the patient perineal care is an independent function of the professional nurse because it involves providing essential education to the patient regarding self-care practices. This intervention empowers the patient to take an active role in their own health management, promoting better outcomes and preventing complications. Administering oral analgesics, requesting diagnostic studies, and providing wound care to a surgical incision are all important nursing interventions, but they typically require a healthcare provider's order or prescription. These actions involve a level of decision-making that goes beyond the independent scope of practice for a nurse. In an educational context, understanding the distinction between independent nursing functions and actions that require provider authorization is crucial for nurses to provide safe and effective care. Nurses must be able to recognize when they can autonomously perform interventions based on their scope of practice and when they need to collaborate with other healthcare team members or seek guidance from a provider. This knowledge ensures patient safety and quality care delivery in maternal and reproductive health settings.