The nurse is reviewing a list of foods high in folic acid with a patient who is considering becoming pregnant. The nurse determines that the patient understands the teaching when the patient states she will include which list of foods in her diet?

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) 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.

Correct Answer: A

Rationale: In the nursing process, the correct step for determining appropriate interventions for identified nursing diagnoses is Planning, which is option A. Planning occurs after the nurse has completed the assessment and analysis of the client's data to establish nursing diagnoses. In this phase, the nurse collaborates with the client to set goals, prioritize nursing interventions, and develop a comprehensive plan of care tailored to the individual's specific needs. Option B, Evaluation, is incorrect because evaluation is about assessing the outcomes of the interventions to determine if they have been effective in meeting the desired goals. Option C, Assessment, is also incorrect as assessment is the initial phase of the nursing process where data is collected to identify health issues. Option D, Intervention, is not the correct answer as interventions are implemented after the planning phase to address the identified nursing diagnoses based on the formulated care plan. Understanding the nursing process is essential for nurses as it provides a systematic framework to deliver individualized care, promote critical thinking, and improve patient outcomes. By correctly identifying the planning phase as the step for determining interventions, nurses can ensure that their care is evidence-based, holistic, and meets the unique needs of maternal and reproductive health clients.

Correct Answer: D

Rationale: The correct answer is option D: Assist to ambulate for 10 minutes at 8 AM, 2 PM, and 6 PM. Rationale: - This intervention promotes maternal well-being by preventing complications like blood clots and enhancing circulation postpartum. - Early ambulation aids in restoring muscle tone, preventing postpartum complications, and promoting overall recovery. - Scheduled ambulation supports a gradual increase in physical activity, which is crucial for postpartum recovery without causing excessive fatigue. Why others are wrong: - Option A (Force fluids as necessary) lacks specificity and may not be appropriate for all maternal clients, as individual fluid needs vary. - Option B (Observe interaction with the infant) is important but not as immediate or crucial for promoting physical recovery postpartum as ambulation. - Option C (Encourage turning, coughing, and deep breathing) is a general nursing intervention but does not specifically address the need for physical activity and mobilization post-delivery. Educational context: Understanding the importance of early ambulation postpartum is vital for nursing students caring for maternal and reproductive health clients. This intervention helps prevent complications, promotes physical recovery, and enhances overall well-being. By implementing scheduled ambulation, nurses can support maternal clients in their postpartum recovery journey effectively.