Deck 14: Nutrition for Childbearing

Question 1

One danger in using nonfood supplementation of nutrients is

A) Increased absorption of all vitamins
B) Development of pregnancy-induced hypertension (PIH)
C) Increased caloric intake
D) Toxic effects on the fetus

Answer 1

Toxic effects on the fetus

Question 2

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.

Answer 2

Identify potential nutritional problems or complications of pregnancy.

Question 3

What is a goal of a patient with the following nursing diagnosis: Imbalanced Nutrition: Less Than Body Requirements related to diet choices inadequate to meet nutrient requirements of pregnancy?

A) Gain a total of 30 lb.
B) Take daily supplements consistently.
C) Decrease intake of snack foods.
D) Increase intake of complex carbohydrates.

Answer 3

Gain a total of 30 lb.

Question 4

A pregnant woman's diet consists almost entirely of whole grain breads and cereals,fruits,and vegetables.The nurse should be most concerned about this woman's intake of

A) Calcium
B) Protein
C) Vitamin B12
D) Folic acid

Question 5

The recommended diet for pregnancy differs from the recommended diet for lactation,because

A) Lactating women require more calories and protein.
B) Pregnant women need more calcium.
C) Lactating women require fewer vitamins.
D) Pregnant women require more iron and protein.

Question 6

A patient who is in week 28 of gestation is concerned about her weight gain of 17 lb.The nurse's best response is

A) "You should try to decrease your amount of weight gain for the next 12 weeks."
B) "You have gained an appropriate amount for the number of weeks of your pregnancy."
C) "You should not gain any more weight until you reach the third trimester."
D) "You have not gained enough weight for the number of weeks of your pregnancy."

Question 7

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

Question 8

To determine the cultural influence on a patient's diet,the nurse should first

A) Evaluate the patient's weight gain during pregnancy.
B) Assess the socioeconomic status of the patient.
C) Discuss the four food groups with the patient.
D) Identify the food preferences and methods of food preparation common to that culture.

Question 9

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

Question 10

Which statement made by a lactating woman leads 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."

Question 11

Health teaching during routine prenatal care includes providing patients with the recommended weight gain during pregnancy.For a woman with a single fetus who begins pregnancy at a normal weight,this amount is _____ lb.

A) 10 to 15
B) 15 to 20
C) 37 to 50
D) 28 to 40

Question 12

Which pregnant adolescent is most at risk for a nutritional deficit during pregnancy?

A) A 15-year-old of normal height and weight
B) A 17-year-old who is 10 pounds underweight
C) A 16-year-old who is 10 pounds overweight
D) A 16-year-old of normal height and weight

Question 13

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

Question 14

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

Question 15

The traditional diet of Asian women includes little meat or dairy products and may be low in calcium and iron.The nurse can help the woman increase her intake of these foods by

A) Emphasizing the need for increased milk intake during pregnancy
B) Suggesting she eat more "hot" foods during pregnancy
C) Telling her husband that she must increase her intake of fruits and vegetables for the baby's sake
D) Suggesting she eat more tofu, bok choy, and broccoli

Question 16

In teaching the pregnant adolescent about nutrition,the nurse should

A) Emphasize the need to eliminate common teen snack foods, because they are too high in fat and sodium.
B) Determine the weight gain needed to meet adolescent growth and add 35 lb.
C) Suggest that she not eat at fast-food restaurants, to avoid foods of poor nutritional value.
D) Realize that most adolescents are unwilling to make dietary changes during pregnancy.

Question 17

To increase the absorption of iron in a pregnant woman,the iron preparation should be given with

A) Milk
B) Tea
C) Orange juice
D) Coffee

Question 18

If a patient's 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) 26
D) 30

Question 19

A pregnant patient would like to know a good food source of calcium other than dairy products.Your best answer is

A) Legumes
B) Yellow vegetables
C) Lean meat
D) Whole grains

Question 20

The breastfeeding woman whose recommended prepregnant caloric intake was 2000 calories per day needs how many calories per day to meet her current needs?

A) 2300
B) 2500
C) 2750
D) 3000

Question 21

Three servings of milk,yogurt,or cheese plus two servings of meat,poultry,or fish will adequately supply the recommended amount of protein for the 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 patient in determining which fish is safe to consume includes

A) Canned white tuna as a preferred choice
B) Avoiding shark, swordfish, and mackerel
C) Treating fish caught in local waterways as the safest
D) Avoiding high levels of mercury in salmon and shrimp

Question 22

While providing care to a patient early in pregnancy,the nurse learns that the patient consumes alcohol almost daily.Drinking alcohol during pregnancy has been associated with a condition known as _______________________ in the infant and should be avoided.

Question 23

Which nutritional recommendation about fluids is accurate?

A) A woman's daily intake should be 8-10 cups
B) Coffee should be limited to no more than 2 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.

Question 24

The evidence regarding the effects of caffeine on nutrition during pregnancy is conflicting and more research is needed.Until the time when there is more evidence on the effect of caffeine on the fetus,caffeine intake during pregnancy should be limited to 400 mg per day.Is this statement true or false?

Question 25

After you complete your nutritional counseling for a pregnant woman,you ask her to repeat your instructions so that you can assess her understanding of the instructions given.Which statement indicates that she understands the role of protein in her pregnancy?

A) "Protein will help my baby grow."
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."

Question 26

Low-income women may have deficient diets because of lack of financial resources and nutritional education.Simple carbohydrate foods are less expensive than other,more nutritious foods items.The diet may be high in calories but low in vitamins and minerals.A referral to ___________ may be helpful.

Question 27

To prevent GI upset,patients should be instructed to take iron supplements

A) On a full stomach
B) At bedtime
C) After eating a meal
D) With milk

Question 28

Food continues to be the best source of nutrients for the pregnant patient.The exceptions are iron and folic acid,which may not be obtained in adequate amounts through normal food intake.Is this statement true or false?

Question 29

Eating disorders include anorexia nervosa and bulimia.Many women with anorexia have amenorrhea and do not become pregnant where as women with bulimia or subclinical anorexia may become pregnant.These condition conditions are associated with (select all that apply)

A) Food cravings
B) Low birth weight
C) Food aversions
D) Electrolyte imbalance
E) Small for gestational age infants

Question 30

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