Deck 14: Nutrition for Childbearing

Question 1

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.

Answer 1

complex carbohydrates.

Question 2

A patient has the nursing diagnosis: Imbalanced Nutrition: Less Than Body Requirements related to diet choices inadequate to meet nutrient requirements of pregnancy.What goal is most appropriate for this diagnosis?

A) Weight change from 135 pounds to 165 pounds at delivery
B) Take daily supplements consistently.
C) Decrease intake of snack foods.
D) Increase intake of complex carbohydrates.

Answer 2

Weight change from 135 pounds to 165 pounds at delivery

Question 3

A patient who is in week 28 of gestation is concerned about her weight gain of 1 pound in 1 week.Which response by the nurse is best?

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."

Answer 3

"You have gained an appropriate amount for the number of weeks of your pregnancy."

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 which nutrient?

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

Question 5

In teaching the pregnant adolescent about nutrition,what suggestion by the nurse is best?

A) Eliminate common teen snack foods, because they are too high in fat and sodium.
B) Work with the teen to include some fast food in a healthy prenatal diet.
C) Suggest that she not eat at fast-food restaurants where the foods are of poor nutritional value.
D) Realize that most adolescents are unwilling to make dietary changes during pregnancy.

Question 6

A pregnant patient would like to know a good food source of calcium other than dairy products.Which answer by the nurse is best?

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

Question 7

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 get 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 8

A student nurse in the perinatal clinic sees the term "pica" on a woman's chart and asks the registered nurse what this means.What definition is most accurate?

A) Intolerance of milk products
B) Iron deficiency anemia
C) Ingestion of nonfood substances
D) Episodes of anorexia and vomiting

Question 9

Which statement by a patient 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 10

The nurse is counseling a woman in her third trimester about eating enough protein.If the woman already gets her non-pregnant RDA of protein,how much more does she need in her diet?

A) 5 grams/day
B) 10 grams/day
C) 25 grams/day
D) 30 grams/day

Question 11

The nurse is assisting a normally active pregnant woman in developing a meal plan.Before she got pregnant,she ate 1800 calories a day.How many calories does she need now?

A) 2000
B) 2140
C) 2342
D) 2400

Question 12

Which pregnant woman should have the least 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 obese before pregnancy

Question 13

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 14

A pregnant woman's diet may not meet her need for folate.The nurse teaches the woman to take how much folate as a supplement each day?

A) 100 to 200 mcg
B) 200 to 400 mcg
C) 400 to 600 mcg
D) 400 to 800 mcg

Question 15

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 16

The nurse teaches a pregnant woman that 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.

Question 17

Four women are admitted to Labor and Delivery.Which woman met the goal for a healthy weight gain in pregnancy?

A) 17 years old, 5´2" tall, initial weight 116 pounds, today's weight 120 pounds
B) 22 years old, 5´2" tall, initial weight 230 pounds, today's weight 245 pounds
C) 24 years old, 5´3" tall, initial weight 135, today's weight 182 pounds
D) 27 years old, 5´6" tall, initial weight 112 pounds, today's weight 135 pounds

Question 18

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 19

A pregnant woman in the perinatal clinic is a recovering anorexic.She is distressed at the emphasis on weight gain.The nurse explains that 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 if this woman has relapsed.
D) determine cultural influences on the woman's diet.

Question 20

To increase the absorption of iron in a pregnant woman,the nurse teaches her that iron preparations should be given with

A) milk.
B) tea.
C) orange juice.
D) coffee.

Question 21

A pregnant woman is at a picnic and asks a friend of hers,who is a nurse,what foods she can eat.What response by the nurse is best?

A) Bologna sandwich
B) Hot dog
C) Smoked salmon spread
D) Cheddar cheese and crackers

Question 22

When assessing cultural influences on a pregnant woman's diet,which actions by the nurse are best? (Select all that apply.)

A) Learn about traditional foods in that culture.
B) Ask the woman how she prepares food.
C) Determine if there are specific "pregnancy" foods.
D) Assess how traditional the woman is.
E) Find out what support she has locally.

Question 23

The nurse working with pregnant women understands that anorexia and bulimia are associated with which conditions in the newborn? (Select all that apply.)

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

Question 24

The nurse explains to the expectant mother that which vitamin or mineral 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

Question 25

The woman in her third trimester asks the nurse how fast she will lose weight after giving birth.What information from the nurse is most accurate?

A) You will lose about 20 pounds immediately.
B) By the end of 2 weeks after birth you will have lost about 21 pounds.
C) You can go on a diet after your first postnatal checkup.
D) Most women do not lose all the weight they gain during pregnancy.

Question 26

A lactating woman tells the nurse she is glad to no longer have to follow specific dietary recommendations,now that her baby has been born.The nurse responds by teaching her that lactating women have an even greater need for which nutrients? (Select all that apply.)

A) Vitamin A
B) Vitamin D
C) Folic acid
D) Iron
E) Iodine

Question 27

The nurse is teaching a pregnant woman to reduce her intake of sodium.What products does the nurse teach the woman to avoid? (Select all that apply.)

A) Products with the word "soda" in the ingredients
B) Packaged gravy mixes
C) Mayonnaise
D) Cake mixes
E) Fruit juices

Question 28

The nurse has taught a vegetarian pregnant woman foods that are high in iron.Which menu selections demonstrate good understanding of the material? (Select all that apply.)

A) Cooked soybeans
B) Canned stewed tomatoes
C) Raisin bran cereal
D) White bread
E) Peaches

Question 29

Which nutritional recommendation about fluids is accurate?

A) A woman's daily intake should be 8 to 10 cups, and most of it should be water.
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 30

A nurse teaching a prenatal class is discussing nutrition.What foods does the nurse advise pregnant women to avoid?

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