Question 1

Which statement is best to include when teaching a pregnant adolescent about nutritional needs of pregnancy?

Accepted Answer

Iron is crucial during pregnancy to support the increased blood volume and to prevent anemia, which is common in pregnant adolescents.

Question 2

The school nurse is planning a class about nutrition for pregnant teens, several of whom have been diagnosed with iron-deficiency anemia. In order to increase iron absorption, the nurse would encourage the teens to consume more:

Accepted Answer

Orange juice is a good source of vitamin C, which can increase iron absorption from plant-based foods. Iron-rich plant-based foods include beans, lentils, tofu, and fortified cereals. By consuming orange juice along with these iron-rich plant-based foods, the pregnant teens can increase their iron absorption and improve their anemia. Gatorade, milk, and green tea do not have the same effect on iron absorption.

Question 3

A patient tells the nurse that she does not like citrus fruits, and would like suggestions for alternate vitamin C sources. What should the nurse suggest as good sources of vitamin C?

Accepted Answer

Strawberries and potatoes, as well as blueberries and green peas, are good sources of vitamin C. Vitamin C is abundant in many fruits and vegetables, not just citrus fruits. Strawberries and blueberries are well-known for their high vitamin C content, as are potatoes and green peas, providing good alternatives for those who do not like or cannot eat citrus fruits.

Question 4

The nurse is working with a pregnant 14 year old. Which statement indicates that additional education is required?

Accepted Answer

Skipping breakfast can lead to nutritional deficiencies and may not provide the consistent energy needed for both the teenager and the developing fetus. It's important for pregnant individuals, especially teenagers who are still growing themselves, to have a balanced diet throughout the day.

Question 5

When preparing nutritional instruction, which pregnant patient would the nurse consider the highest priority?

Accepted Answer

The 15-year-old nulligravida is the highest priority because she is a teenager and likely has additional nutritional needs due to her own ongoing growth and development, as well as the needs of the pregnancy. Additionally, teenage pregnancies are at higher risk for complications, making nutritional education crucial.

Question 6

The pregnant teen who was prescribed prenatal vitamins at her initial prenatal visit states that she does not llike to take them. How should the nurse respond?

Accepted Answer

A) Folic acid is crucial for preventing neural tube defects in the developing fetus, which is why it's often emphasized in prenatal care. E) Prenatal vitamins are prescribed to ensure both the mother and the developing fetus receive all necessary nutrients, especially when dietary intake might not be sufficient.

Question 7

The nurse is evaluating the 24-hour dairy intake of four pregnant patients. Which patient consumed the highest number of dairy servings during a day?

Accepted Answer

Patient B consumed a total of 5 dairy servings (1 cup yogurt, 8 oz. chocolate milk, one cup cottage cheese, and 1 oz. hard cheese), which is the highest among the four patients. Patients A, C, and D consumed 4, 3, and 3 dairy servings, respectively.

Question 8

A nurse is discussing diet with a pregnant woman. Which foods should the nurse advise the patient to avoid during her pregnancy?

Accepted Answer

Pregnant women should avoid certain foods such as deli meats like bologna which may contain listeria, a type of bacteria that can lead to miscarriage or stillbirth. Red wine and other alcoholic beverages should also be avoided during pregnancy.

Question 9

A nurse is discussing the serving sizes in the grains food group with a new prenatal patient in the clinic. Which food equals one serving size from the grains food group?

Accepted Answer

The answer of A nurse is discussing the serving sizes...

Question 10

The nurse is preparing a prenatal class about infant feeding methods. The maternal nutritional requirements for breastfeeding and formula-feeding will be discussed. What statement should the nurse include?

Accepted Answer

Breastfeeding does require a continued high intake of protein and calcium to support milk production and meet the nutritional needs of both the mother and the infant. Formula-feeding mothers do not necessarily need to protect their health with extra calcium, but they do need to ensure they have a balanced diet to maintain their own health and provide adequate nutrition to their baby. Simply consuming any source of food without attention to nutritional value is not sufficient for producing breast milk. While protein is important for all individuals, formula-feeding mothers do not require a higher intake to avoid fatigue.

Question 11

A pregnant patient is lactose intolerant. Which alternative food could this patient eat to get sufficient calcium?

Accepted Answer

Turnip greens are a good source of calcium and can be a suitable alternative for lactose intolerant pregnant women. 1 cup (130 grams) of cooked turnip greens can provide approximately 197 mg of calcium.

Quiz 18: Maternal Nutrition