Deck 10: Life Cycle Nutrition: Pregnancy and Lactation

Question 1

Ms. J is a 15-year-old girl who is 2 months pregnant. If Ms. J later confides to the nurse that she craves the taste of laundry starch, the nurse would document this incidence of:
1) Eclampsia
2) Gestational diabetes
3) Heartburn
4) Pica

Answer 1

4

Question 2

Ms. J is a 15-year-old girl who is 2 months pregnant. She is undecided about seeking an abortion. Which of the following would be most important for teaching the client before she leaves your clinic today?
1) Advice to begin a vitamin and mineral supplement
2) Anticipatory guidance regarding morning sickness prevention
3) Dietary instructions on limiting weight gain to 20 lb
4) Warning about strict prohibition of alcohol

Answer 2

4

Question 3

Ms. P is a 24-year-old athletic woman who is concerned about gaining excessive weight during her pregnancy. Which of the following statements by the nurse is correct?
1) "No one should gain more than 20 pounds during pregnancy."
2) "Your regular diet should serve you well throughout your pregnancy."
3) "Just indulging your appetite should suffice. Your body will crave the nutrients it needs."
4) "The recommended weight gain is determined from your current height and weight."

Answer 3

4

Question 4

The key to preventing hypertensive disorders of pregnancy is:
1) Preconception genetic counseling
2) Careful prenatal monitoring
3) Adequate spacing of pregnancies
4) Vitamin and mineral supplementation

Question 5

Which of the following nutrient supplements is most commonly prescribed for pregnant women?
1) Calcium
2) Iron
3) Vitamin A
4) Vitamin C

Question 6

Pregnant women should be encouraged to consume adequate carbohydrate for which of the following reasons?
1) Provide energy to support her anabolic processes
2) Spare fat for tissue building
3) Maximize weight gain
4) Limit amount of glucose to the fetus

Question 7

To enter pregnancy with adequate vitamin stores, women who are capable of becoming pregnant should obtain how many micrograms of folic acid daily through fortified foods or supplements?
1) 200
2) 300
3) 400
4) 500

Question 8

Which of the following statements by a pregnant client indicates successful teaching?
1) "Because I have already had four children without problems, I will not get preeclampsia."
2) "Eclampsia is caused by toxins secreted by the placenta."
3) "My prenatal vitamin-mineral supplement is my insurance against eclampsia."
4) "I have to be sure to bring in a urine sample at every visit."

Question 9

Most teratogenic effects from overdoses, toxins, or diseases occur during the:
1) 3 months before conception
2) First trimester
3) Second trimester
4) Third trimester

Question 10

The nurse would suggest that the pregnant woman eat dry crackers before arising if the woman experiences which of the following?
1) Heartburn
2) Morning sickness
3) Pica
4) Leg cramps

Question 11

A pregnant teenager who is above the recommended rate of weight gain has been selecting milkshakes and cheeseburgers as snacks when out for an evening. Which of the following alternative choices should the nurse suggest?
1) Fish sandwich and light beer
2) Chocolate cookie and yogurt cone
3) Either a milkshake or a cheeseburger, not both
4) Skim milk and a small salad with lemon juice

Question 12

In addition to elevated blood pressure, preeclampsia is characterized by
1) Pulse rate greater than 120
2) Headache
3) Proteinuria
4) Seizures

Question 13

The addition of folic acid to enriched foods is intended to reduce the occurrence of:
1) Premature births
2) Fetal alcohol syndrome
3) Hydrocephalus
4) Neural tube defects

Question 14

Ms. P is a 20-year-old woman who is being treated for acne with isotretinoin. The nurse should assess whether she is:
1) Complying with contraceptive instructions
2) Taking a prescribed multivitamin preparation
3) Consuming three servings of milk or cheese daily
4) Within the recommended blood pressure parameters

Question 15

When caring for a pregnant adolescent, the nurse emphasizes nutrition because she knows:
1) The fetus has to be kept small to permit vaginal delivery through a small pelvis
2) All teenagers have terrible food habits
3) Adolescent mothers have to be encouraged to limit weight gain
4) The young mother must meet her own growth needs as well as those of the fetus

Question 16

To prevent constipation in pregnancy, the nurse would recommend that the pregnant woman consume how many grams of dietary fiber daily with adequate water.
1) 10
2) 20
3) 30
4) 40

Question 17

When describing gestational diabetes to a pregnant woman, which the following would the nurse need to keep in mind as an underlying mechanism?
1) Confiscation of the woman's insulin by the fetus
2) Hereditary defect of glucose metabolism
3) Exaggeration of the normal resistance to insulin due to pregnancy
4) Lack of growth hormone in the pregnant teenager

Question 18

The nurse is discussing appropriate recommendations for the adequate intake of calcium with a 28-year-old pregnant woman. The nurse understands that this woman should have an intake of how many milligrams/day?
1) 1000
2) 1300
3) 1600
4) 1900

Question 19

Which of the following dietary interventions is suggested for morning sickness?
1) Whole-milk products
2) Hot foods whenever feasible
3) Limiting liquids between meals
4) High-protein bedtime snack

Question 20

To meet her protein needs, a pregnant woman should be counseled to:
1) Consume 1 1/2 additional ounces of meat and 2 additional cups of milk per day
2) Substitute beans and other legumes for meat, fish, and poultry
3) Eat double servings of dairy products
4) Eat twice as many servings of meat, fish, and poultry

Question 21

The nurse develops a presentation for pregnant women, women who may become pregnant, nursing mothers, and their young children. During the presentation, the nurse strongly encourages the group to avoid eating shark, swordfish, King mackerel, and tilefish because of the potential contamination with which of the following?
1) Mercury
2) Lead
3) Chromium
4) Asbestos

Question 22

Lack of bioavailable vitamin B₁₂ in the diets of pregnant women has resulted in insults to which of the following in their infants.
1) Neurological
2) Growth
3) Skeletal
4) Visual

Question 23

Which of the following is not an advantage breastfeeding gives to the mother?
1) Aids uterine involution
2) Ensures protection from breast cancer
3) Enforces rest periods throughout the day
4) Is less expensive than formula feeding

Question 24

The Recommended Dietary Allowance (RDA) for protein for a 32-year-old lactating woman is how many grams per day?
1) 52
2) 64
3) 71
4) 87

Question 25

Pregnant women are advised to avoid soft cheeses and to cook leftover foods and ready-to-eat foods (frankfurters) until steaming hot because of the threat of which of the following?
1) Botulism
2) Brucellosis
3) Listeriosis
4) Staphylococcal food poisoning