Question 1

The pregnant client cannot tolerate milk or meat.What would the nurse recommend to the client to assist in meeting protein needs?&#10;A)Wheat bread and pasta&#10;B)Ice cream and peanut butter&#10;C)Eggs and tofu&#10;D)Beans and potatoes&#10;

Accepted Answer

Eggs and tofu are good sources of protein that do not contain dairy or meat. They can be easily incorporated into meals and provide essential amino acids needed for fetal growth and development. Choices A, B, and D may provide some protein but are not as high in quality or quantity as eggs and tofu.

Question 2

A pregnant client who is of normal prepregnancy weight is now 30 weeks pregnant.She asks the nurse what appropriate weight gain would be for her.The nurse's best response is:&#10;A)&#34;25-35 pounds.&#34;&#10;B)&#34;30-40 pounds.&#34;&#10;C)&#34;17-18 pounds.&#34;&#10;D)&#34;Less than 15 pounds.&#34;&#10;

Accepted Answer

The recommended weight gain for a client of normal pre-pregnancy weight at 30 weeks gestation is 25-35 pounds. This weight gain is associated with better outcomes for both the mother and the baby. It is important to emphasize that the weight gain should be gradual and that the client should follow a healthy diet and exercise regularly with the guidance of a healthcare provider.

Question 3

Zinc intake should increase during pregnancy.Which of the following foods would the nurse suggest to increase intake of zinc?&#10;A)Clams&#10;B)Bananas&#10;C)Pears&#10;D)Cabbage&#10;

Accepted Answer

Clams are a good source of zinc, with 100 grams providing about 78% of the recommended daily intake for women. Bananas, pears, and cabbage do not contain significant amounts of zinc.

Question 4

A pregnant client who is a vegetarian asks the nurse for assistance with her diet.What instruction would the nurse give?&#10;A)&#34;Protein is important;therefore,the addition of one serving of meat is necessary.&#34;&#10;B)&#34;Complete proteins are found in vegetable products.&#34;&#10;C)&#34;A daily supplement of 4 mg of vitamin B12 is important.&#34;&#10;D)&#34;The high fiber in a vegetarian diet is dangerous for pregnant women.&#34;&#10;

Accepted Answer

Vitamin B12 supplementation is important for vegetarians, especially during pregnancy, because B12 is primarily found in animal products and is crucial for the development of the baby's nervous system. Vegetarians may not get enough B12 from their diet alone.

Question 5

When preparing nutritional instruction,which of the following pregnant clients would the nurse consider highest-priority?&#10;A)30-year-old G2&#10;B)22-year-old primigravida&#10;C)35-year-old G4&#10;D)15-year-old nulligravida&#10;

Accepted Answer

The highest-priority pregnant client would be the 15-year-old nulligravida, as teenage pregnancies carry a higher risk for complications such as premature delivery, low birth weight, and poor maternal nutrition. The nurse should prioritize providing comprehensive nutritional instruction for this client to mitigate these risks.

Question 6

A teenage pregnant client is diagnosed with iron-deficiency anemia.Which nutrient should the nurse encourage to increase iron absorption?&#10;A)Vitamin A&#10;B)Vitamin C&#10;C)Vitamin D&#10;D)Vitamin E&#10;

Accepted Answer

Vitamin C is known to enhance the absorption of iron. Thus, the nurse should encourage the client to increase her intake of vitamin C-rich foods such as citrus fruits, berries, tomatoes, and peppers to improve her iron levels.

Question 7

A client presents to the antepartum clinic with a history of a 20-pound weight loss.Her pregnancy test is positive.She is concerned about gaining the weight back,and asks the nurse if she can remain on her diet.The nurse's best response would be:

A)"As long as you supplement your diet with the prenatal vitamin,the amount of weight you gain in pregnancy is not significant."
B)"I understand that gaining weight after such an accomplishment must not look attractive,but weight gain during pregnancy is important for proper fetal growth."
C)"Dieting during pregnancy is considered child neglect."
D)"Excessive weight gain in pregnancy is due to water retention,so weight loss following birth will not be an issue."

Accepted Answer

Weight gain during pregnancy is important for proper fetal growth and development. The client should be advised to maintain a healthy and balanced diet, and to discuss any concerns or questions about weight gain with their healthcare provider. It is not recommended to continue a restrictive or weight loss diet during pregnancy as it can have negative impacts on fetal growth and development. It is important to encourage the client to focus on maintaining a healthy lifestyle and not to put too much emphasis on weight gain during pregnancy.

Question 8

The breastfeeding mother is concerned about her decreased production of milk.The nurse knows further teaching is needed based on which statement?&#10;A)&#34;I am drinking a minimum of 8-10 glasses of liquid a day.&#34;&#10;B)&#34;I have started cutting back on my protein intake.&#34;&#10;C)&#34;At least three times a day,I am drinking a glass of milk.&#34;&#10;D)&#34;I try to take a nap in the morning and afternoon when the baby is sleeping.&#34;&#10;

Accepted Answer

Cutting back on protein intake can decrease milk production. The mother should be encouraged to maintain a balanced diet with adequate protein intake.

Question 9

The postpartal client has been home for a week following a vaginal delivery with a first-degree tear.The nurse is preparing for a home visit.The nurse would need to assess for:&#10;A)Dietary intake of fiber and fluids.&#10;B)Dietary intake of folic acid and prenatal vitamins.&#10;C)Return of the hemoglobin and hematocrit to baseline.&#10;D)Return of protein and albumin to predelivery levels.&#10;

Accepted Answer

For a postpartal client who had a first-degree tear and vaginal delivery, assessing dietary intake of fiber and fluids is important. This will help ensure the client does not become constipated, which can cause discomfort and interrupt the healing process of the perineum. It is also important for the client to stay hydrated during this time of healing. The other options listed are not as relevant to a postpartal client who had a first-degree tear and vaginal delivery.

Question 10

A pregnant client confides to the nurse that she is eating laundry starch daily.The nurse should assess the client for:&#10;A)Alopecia.&#10;B)Weight loss.&#10;C)Iron-deficiency anemia.&#10;D)Fecal impaction.&#10;

Accepted Answer

1.The ingestion of non-nutritive food sources is called pica.The clients might show lack of hair luster,but they do not experience alopecia.
2.The ingestion of non-nutritive food sources is called pica.These clients typically do not lose weight because they have been participating in this lifestyle prior to pregnancy.
3.The ingestion of non-nutritive food sources is called pica.Eating these non-nutritive substances has been found to interfere with the absorption of iron.
4.The ingestion of non-nutritive food sources is called pica.The clients might experience more constipation than do non-pica clients;however,they do not become impacted.

Question 11

A pregnant client who follows a strict vegan diet asks the nurse to assist her with her diet.The nurse will want to assess intake of which nutrient?&#10;A)Iron&#10;B)Vitamin C&#10;C)Vitamin K&#10;D)Vitamin E&#10;

Accepted Answer

The answer of A pregnant client who follows a strict...

Question 12

Niacin intake should increase during pregnancy.Which of the following foods would the nurse suggest to the client to increase her intake of niacin?&#10;A)Fish&#10;B)Apples&#10;C)Broccoli&#10;D)Lettuce&#10;

Accepted Answer

The answer of Niacin intake should increase during pregnancy.Which of...

Question 13

In early-pregnancy class,the nurse emphasizes the importance of 8-10 glasses of fluid per day.How many of these should be water?&#10;A)1-2&#10;B)2-4&#10;C)4-6&#10;D)8-10&#10;

Accepted Answer

The answer of In early-pregnancy class,the nurse emphasizes the importance...

Question 14

The pregnant client states she does not want &#34;to take all these supplements.&#34; What recommendations could the nurse make for the client? Select all that apply.&#10;A)&#34;Folic acid has been found to be essential for minimizing the risk of neural tube defects.&#34;&#10;B)&#34;You do not have to take these supplements if you think you are healthy enough.&#34;&#10;C)&#34;Most women do not have adequate intake of iron prepregnancy,and iron needs increase with pregnancy.&#34;&#10;D)&#34;These medications do the same thing.I will call your physician to cancel one of your medications.&#34;&#10;

Accepted Answer

The answer of The pregnant client states she does not...

Question 15

To accurately assess a pregnant client's food intake,the nurse would:&#10;A)Assess her most recent laboratory values.&#10;B)Ask her to complete a nutritional questionnaire.&#10;C)Observe for clinical signs of malnutrition.&#10;D)Ask about her cooking facilities.&#10;

Accepted Answer

The answer of To accurately assess a pregnant client's food...

Deck 12: Maternal Nutrition