Exam 15: Maternal and Fetal Nutrition

Many clients are concerned about the increased levels of mercury in fish and may be reluctant to include this source of nutrients in their diet.What is the best advice for the nurse to provide?

To prevent gastrointestinal (GI)upset,when should a pregnant client be instructed to take the recommended iron supplements?

Which nutrient's recommended dietary allowance (RDA)is higher during lactation than during pregnancy?

With regard to weight gain during pregnancy,the nurse should be aware of which important information?

Pregnant adolescents are at greater risk for decreased body mass index (BMI)and "fad" dieting with which condition?

A client states that she does not drink milk.Which foods should the nurse encourage this woman to consume in greater amounts to increase her calcium intake?

A woman has come to the clinic for preconception counseling because she wants to start trying to get pregnant.Which guidance should she expect to receive?

While obtaining a diet history,the nurse might be told that the expectant mother has cravings for ice chips,cornstarch,and baking soda.Which nutritional problem does this behavior indicate?

Which action is the highest priority for the nurse when educating a pregnant adolescent?

Which action is the priority for the nurse who is assessing the influence of culture on a client's diet?

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. )

A woman in the 34th week of pregnancy reports that she is very uncomfortable because of heartburn.Which recommendation would be appropriate for this client?

Which information regarding protein in the diet of a pregnant woman is most helpful to the client?

A pregnant woman's diet may not meet her increased need for folates.Which food is a rich source of this nutrient?

A client states that she plans to breastfeed her newborn infant.What guidance would be useful for this new mother?

A pregnant woman's diet consists almost entirely of whole grain breads and cereals,fruits,and vegetables.Which dietary requirement is the nurse most concerned about?

Which nutritional recommendation regarding fluids is accurate?

Nutrition is an alterable and important preventive measure for a variety of potential problems such as low birth weight and prematurity.While completing the physical assessment of the pregnant client,the nurse can evaluate the client's nutritional status by observing a number of physical signs.Which physical sign indicates to the nurse that the client has unmet nutritional needs?

A pregnant woman reports that she is still playing tennis at 32 weeks of gestation.Which recommendation would the nurse make for this client after a tennis match?

Which vitamins or minerals may lead to congenital malformations of the fetus if taken in excess by the mother?