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Maternal Child Nursing Care Fetal
Nutrition - Chapter 9
A 27-year-old pregnant woman had a preconceptual body mass index (BMI) of 18.0. The nurse knows that this woman's total recommended weight gain during pregnancy should be at least: A) 20 kg (44 lb) B) 16 kg (35 lb) C) 12.5 kg (27.5 lb) D) 10 kg (22 lb) - โโC) 12.5 kg (27.5 lb) A woman in week 34 of pregnancy reports that she is very uncomfortable because of heartburn. The nurse would suggest that the woman: A) Substitute other calcium sources for milk in her diet. B) Lie down after each meal. C) Reduce the amount of fiber she consumes. D) Eat five small meals daily. - โโD) Eat five small meals daily. Which meal would provide the most absorbable iron? A) Toasted cheese sandwich, celery sticks, tomato slices, and a grape drink B) Oatmeal, whole wheat toast, jelly, and low-fat milk C) Black bean soup, wheat crackers, orange sections, and prunes D) Red beans and rice, cornbread, mixed greens, and decaffeinated tea - โโC) Black bean soup, wheat crackers, orange sections, and prunes Which nutrients recommended dietary allowance (RDA) is higher during lactation than during pregnancy? A) Energy (kcal) B) Iron C) Vitamin A
D) Folic acid - โโA) Energy (kcal) A pregnant woman's diet consists almost entirely of whole grain breads and cereals, fruits, and vegetables. The nurse would be most concerned about this woman's intake of: A) Calcium B) Protein C) Vitamin B D) Folic acid - โโC) Vitamin B A pregnant woman experiencing nausea and vomiting should: A) Drink a glass of water with a fat-free carbohydrate before getting out of bed in the morning. B) Eat small, frequent meals (every 2 to 3 hours). C) Increase her intake of high-fat foods to keep the stomach full and coated. D) Limit fluid intake throughout the day. - โโB) Eat small, frequent meals (every 2 to 3 hours). A pregnant woman reports that she is still playing tennis at 32 weeks of gestation. The nurse would be most concerned that during and after tennis matches this woman consumes: A) Several glasses of fluid. B) Extra protein sources such as peanut butter. C) Salty foods to replace lost sodium. D) Easily digested sources of carbohydrate. - โโA) Several glasses of fluid. Which statement made by a lactating woman would lead the nurse to believe that the woman might have lactose intolerance? A) I always have heartburn after I drink milk. B) If I drink more than a cup of milk, I usually have abdominal cramps and bloating. C) Drinking milk usually makes me break out in hives. D) Sometimes I notice that I have bad breath after I drink a cup of milk. - โโB) If I drink more than a cup of milk, I usually have abdominal cramps and bloating.
B) Eating protein will prevent me from becoming anemic. C) Eating protein will make my baby have strong teeth after he is born. D) Eating protein will prevent me from being diabetic. - โโA) Protein will help my baby grow. Pregnant adolescents are at high risk for _____ because of lower body mass indices (BMIs) and fad dieting. A) Obesity B) Diabetes C) Low-birth-weight babies D) High-birth-weight babies - โโC) Low-birth-weight babies Maternal nutritional status is an especially significant factor of the many factors that influence the outcome of pregnancy because: A) It is very difficult to adjust because of peoples' ingrained eating habits B) It is an important preventative measure for a variety of problems C) Women love obsessing about their weight and diets D) A woman's preconception weight becomes irrelevant - โโB) It is an important preventative measure for a variety of problems Which statement regarding acronyms in nutrition is accurate? A) Dietary reference intakes (DRIs) consist of recommended dietary allowances (RDAs), adequate intakes (AIs), and upper limits (ULs). B) RDAs are the same as ULs except with better data. C) AIs offer guidelines for avoiding excessive amounts of nutrients. D) They all refer to green leafy vegetables, whole grains, and fruit. - โโA) Dietary reference intakes (DRIs) consist of recommended dietary allowances (RDAs), adequate intakes (AIs), and upper limits (ULs). With regard to protein in the diet of pregnant women, nurses should be aware that: A) Many protein-rich foods are also good sources of calcium, iron, and B vitamins. B) Many women need to increase their protein intake during pregnancy.
C) As with carbohydrates and fat, no specific recommendations exist for the amount of protein in the diet. D) High-protein supplements can be used without risk by women on macrobiotic diets. - โโA) Many protein-rich foods are also good sources of calcium, iron, and B vitamins. Which nutritional recommendation about fluids is accurate? A) A woman's daily intake should be eight to ten glasses (2.3 L) of water, milk, or juice. B) Coffee should be limited to no more than two cups, but tea and cocoa can be consumed without worry. C) Of the artificial sweeteners, only aspartame has not been associated with any maternity health concerns. D) Water with fluoride is especially encouraged because it reduces the child's risk of tooth decay. - โโA) A woman's daily intake should be eight to ten glasses (2.3 L) of water, milk, or juice. Which minerals and vitamins usually are recommended to supplement a pregnant womans diet? A) Fat-soluble vitamins A and D B) Water-soluble vitamins C and B C) Iron and Folate D) Calcium and zinc - โโC) Iron and Folate Which vitamins or minerals can lead to congenital malformations of the fetus if taken in excess by the mother? A) Zinc B) Vitamin D C) Folic Acid D) Vitamin A - โโD) Vitamin A With regard to nutritional needs during lactation, a maternity nurse should be aware that: A) The mothers intake of vitamin C, zinc, and protein now can be lower than during pregnancy.
C) Brush her teeth immediately after eating. D) Never snack before bedtime. - โโA) Try a tart food or drink such as lemonade or salty foods such as potato chips. Three servings of milk, yogurt, or cheese plus two servings of meat, poultry, or fish adequately supply the recommended amount of protein for a pregnant woman. Many patients are concerned about the increased levels of mercury in fish and may be afraid to include this source of nutrients in their diet. Sound advice by the nurse to assist the client in determining which fish is safe to consume would include: A) Canned white tuna is a preferred choice. B) Avoid shark, swordfish, and mackerel. C) Fish caught in local waterways are the safest. D) Salmon and shrimp contain high levels of mercury. - โโB) Avoid shark, swordfish, and mackerel. Nutrition is one of the most significant factors influencing the outcome of a pregnancy. It is an alterable and important preventive measure for various potential problems, such as low birth weight and prematurity. While completing the physical assessment of the pregnant client, the nurse can evaluate the clients nutritional status by observing a number of physical signs. Which sign would indicate that the client has unmet nutritional needs? A) Normal heart rate, rhythm, and blood pressure B) Bright, clear, shiny eyes C) Alert, responsive, and good endurance D) Edema, tender calves, and tingling - โโD) Edema, tender calves, and tingling Which pregnant woman should restrict her weight gain during pregnancy? A) Woman pregnant with twins B) Woman in early adolescence C) Woman shorter than 62 inches or 157 cm D) Woman who was 20 pounds overweight before pregnancy - โโD) Woman who was 20 pounds overweight before pregnancy The major source of nutrients in the diet of a pregnant woman should be composed of: A) Simple sugars
B) Fats C) Fiber D) Complex carbohydrates - โโD) Complex carbohydrates A pregnant woman's diet may not meet her need for folates. A good source of this nutrient is: A) Chicken B) Cheese C) Potatoes D) Green leafy vegetables - โโD) Green leafy vegetables When providing care to the prenatal patient, the nurse understands that pica is defined as: A) Intolerance of milk products B) Iron deficiency anemia C) Ingestion of nonfood substances D) Episodes of anorexia and vomiting - โโC) Ingestion of nonfood substances The most important reason for evaluating the pattern of weight gain in pregnancy is to: A) Prevent excessive adipose tissue deposits B) Identify potential nutritional problems or complications of pregnancy C) Assess the need to limit caloric intake in obese women D) Determine cultural influences on the woman's diet - โโB) Identify potential nutritional problems or complications of pregnancy If a patients normal prepregnancy diet contains 45 g of protein daily, how many more grams of protein should she consume per day during pregnancy? A) 5 B) 10 C) 25 D) 30 - โโC) 25 A pregnant patient would like to know a good food source of calcium other than dairy products. Your best answer is:
information. The nurse or midwife should refer a client to a registered dietitian for in-depth nutritional counseling in the following situations (Select all that apply). A) Preexisting or gestational illness such as diabetes B) Ethnic or cultural food patterns C) Obesity D) Vegetarian diet E) Allergy to tree nuts - โโA) Preexisting or gestational illness such as diabetes A 22-year-old woman pregnant with a single fetus has a preconception body mass index (BMI) of 24. When she was seen in the clinic at 14 weeks of gestation, she had gained 1.8 kg (4 lb) since conception. How would the nurse interpret this? A) This weight gain indicates possible gestational hypertension. B) This weight gain indicates that the woman's infant is at risk for intrauterine growth restriction (IUGR). C) This weight gain cannot be evaluated until the woman has been observed for several more weeks. D) The woman's weight gain is appropriate for this stage of pregnancy. - โโD) The woman's weight gain is appropriate for this stage of pregnancy.
