NURS 372 MIDTERM LECTURE NOTE QUESTIONS WITH COMPLETE SOLUTIONS

Which of the following statements is correct regarding folic acid? a. Folic acid is recommended once pregnancy is confirmed. b. Folic acid is not required within North America as many foods have additional fortification which is enough during pregnancy. c. Folic acid supplementation during preconception and pregnancy helps prevent neural tube defects. d. Folic acid supplementation dosing is standard regardless of risk factors correct answer: c Why is folate or folic acid of particular concern in the preconception period? correct answer: Folic acid supplementation can lead to decreased incidence of congenital heart disease, facial clefts, decreased limb defects What is the recommended dose of folic acid in clients that are low risk? correct answer: 0.4 mg/day, dosing goes up with risk factors Which is the earliest biochemical marker of pregnancy? correct answer: Human chorionic gonadotropin (hCG) How reliable are over the counter pregnancy tests? correct answer: 90% What are some factors that can influence the accuracy of the results? correct answer: morning (more reliable), gestational age, medications, early symptoms Most clients give birth within how many days of their estimated due date? a. 3 days before 3 days after b. 7 days before to 7 days after c. 14 days before to 14 days after d. 21 days before to 21 days after correct answer: b Why is it important to make an accurate assessment of the estimated due date? correct answer: So you are aware where fetal development is → if growth is on target From a social standpoint: so you can prepare for the arrival, think about work, lifestyle, etc., Mental and physical process of preparing for arrival of fetus Important for genetic testing and screening Care is dependent on how far along client is in their pregnancy