The nurse is providing education to a woman of childbearing age about prenatal care. The nurse counsels the woman to increase dietary intake of which of the following substances that would help prevent neural tube defects in her future children?

The nurse is assigned to care for a large for gestational age neonate with respiratory distress and significant tachypnea that is requiring continuous positive airway pressure at 12 hours of life. The nurse notes the patient has good muscle tone with flexed bilateral legs and a flexed right arm. The left arm is extended and adducted. The nurse is MOST concerned about which condition?

The 18-year-old patient calls the clinic two weeks after receiving the 2nd vaccination in the three-dose series for human papillomavirus (HPV). She states, “I didn’t realize it when I got the vaccine, but I was 6 weeks pregnant. Will my baby be okay?” Which response by the nurse is most appropriate?