Most women with uncomplicated pregnancies can use the nurse as their primary source for nutritional information.However,the nurse or midwife may need to refer a client to a registered dietitian for in-depth nutritional counseling.Which conditions would require such a consultation?
(Select all that apply).

Question

Quizplus · Accepted Answer

The nurse should be especially aware that conditions such as diabetes can require in-depth dietary planning and evaluation.To prevent issues with hypoglycemia and hyperglycemia,as well as an increased risk for perinatal morbidity and mortality,the client with a preexisting or gestational illness would benefit from a referral to a dietitian.Consultation with a dietitian may ensure that cultural food beliefs are congruent with modern knowledge of fetal development and that adjustments can be made to ensure that all nutritional needs are met.The obese pregnant client may be under the misapprehension that,because of her excess weight,little or no weight gain is necessary.According to the Institute of Medicine,a client with a BMI in the obese range should gain at least 7 kg to ensure a healthy outcome.This client may require in-depth counseling on the optimal food choices.The vegetarian client needs to have her dietary intake carefully assessed to ensure that the optimal combination of amino acids and protein intake is achieved.Very strict vegetarians (vegans)who consume only plant products may also require vitamin B and mineral supplementation.A multifetal pregnancy can be managed by increasing the number of servings of complex carbohydrates and proteins.

Most Women with Uncomplicated Pregnancies Can Use the Nurse as Their