MATERNAL CHILD NURSING CARE - CHAPTER 9:
MATERNAL AND FETAL NUTRITION 2022
A 22-year-old woman pregnant with a single fetus has a preconception body
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index (BMI) of 24. When
she was seen in the clinic at 14 weeks of gestation, she had gained 1.8 kg (4 lb)
since conception. How would
the nurse interpret this?
A) This weight gain indicates possible gestational hypertension.
B) This weight gain indicates that the woman's infant is at risk for intrauterine growth
restriction
(IUGR).
C) This weight gain cannot be evaluated until the woman has been observed for
several more weeks.
D) The woman's weight gain is appropriate for this stage of pregnancy. - ANS-D) The
woman's weight gain is appropriate for this stage of pregnancy.
Which meal would provide the most absorbable iron?
A) Toasted cheese sandwich, celery sticks, tomato slices, and a grape drink
B) Oatmeal, whole wheat toast, jelly, and low-fat milk
C) Black bean soup, wheat crackers, orange sections, and prunes
D) Red beans and rice, cornbread, mixed greens, and decaffeinated tea - ANS-C)
Black bean soup, wheat crackers, orange sections, and prunes
Which nutrients recommended dietary allowance (RDA) is higher during lactation
than during pregnancy?
A) Energy (kcal)
B) Iron
C) Vitamin A
D) Folic acid - ANS-A) Energy (kcal)
A pregnant woman's diet consists almost entirely of whole grain breads and cereals,
fruits, and vegetables. The nurse would be most concerned about this woman's
intake of:
A) Calcium
B) Protein
C) Vitamin B12
D) Folic acid - ANS-C) Vitamin B12
A pregnant woman experiencing nausea and vomiting should:
A) Drink a glass of water with a fat-free carbohydrate before getting out of bed in the
morning.
B) Eat small, frequent meals (every 2 to 3 hours).
C) Increase her intake of high-fat foods to keep the stomach full and coated.
D) Limit fluid intake throughout the day. - ANS-B) Eat small, frequent meals (every 2
to 3 hours).
A pregnant woman reports that she is still playing tennis at 32 weeks of gestation.
The nurse would be most concerned that during and after tennis matches this
woman consumes:
A) Several glasses of fluid.
B) Extra protein sources such as peanut butter.
C) Salty foods to replace lost sodium.
D) Easily digested sources of carbohydrate. - ANS-A) Several glasses of fluid.
Which statement made by a lactating woman would lead 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. - ANS-B) If I
drink more than a cup of milk, I usually have abdominal cramps and bloating.
A pregnant womans diet history indicates that she likes the following list of foods.
The nurse would encourage this woman to consume more of which food to increase
her calcium intake?
A) Fresh apricots
B) Canned clams
C) Spaghetti with meat sauce
D) Canned sardines - ANS-D) Canned sardines
A 27-year-old pregnant woman had a preconceptual body mass index (BMI) of 18.0.
The nurse knows that
this woman's total recommended weight gain during pregnancy should be at least:
A) 20 kg (44 lb)
B) 16 kg (35 lb)
C) 12.5 kg (27.5 lb)
D) 10 kg (22 lb) - ANS-C) 12.5 kg (27.5 lb)
A woman in week 34 of pregnancy reports that she is very uncomfortable because of
heartburn. The nurse
would suggest that the woman:
A) Substitute other calcium sources for milk in her diet.
B) Lie down after each meal.
C) Reduce the amount of fiber she consumes.
D) Eat five small meals daily. - ANS-D) Eat five small meals daily.
A woman has come to the clinic for preconception counseling because she wants to
start trying to get pregnant in 3 months. She can expect the following advice:
A) Discontinue all contraception now
B) Lose weight so that you can gain more during pregnancy
C) You may take any medications you have been taking regularly
D) Make sure that you include adequate folic acid in your diet - ANS-D) Make sure
that you include adequate folic acid in your diet
To prevent gastrointestinal upset, clients should be instructed to take iron
supplements:
A) On a full stomach
B) At bedtime
C) After eating a meal
D) With milk - ANS-B) At bedtime
Women with an inadequate weight gain during pregnancy are at higher risk of giving
birth to an infant with:
A) Spina bifida
B) Intrauterine growth restriction
C) Diabetes mellitus
D) Down syndrome - ANS-B) Intrauterine growth restriction
After you complete your nutritional counseling for a pregnant woman, you ask her to
repeat your
instructions so you can assess her understanding of the instructions given. Which
statement indicates that she understands the role of protein in her pregnancy? CONTINUES... [Show Less]