Exam 10: Nutrition Through the Life Span: Pregnancy and Lactation

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Individual food cravings during pregnancy often reflect real physiological needs of the pregnant woman.

(True/False)
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Fetal alcohol spectrum disorders (FASD) include what associated characteristics at birth?

(Multiple Choice)
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Deborah, age 24, is a Caucasian woman who is attending her first prenatal appointment with the clinic obstetrician. Deborah is single and employed in a minimum-wage job with limited financial resources. She resides with her mother. In the first month of her pregnancy, Deborah has experienced mild nausea but no vomiting and has had a ravenous appetite. Because she works as a waitress, she has access to balanced meals at breakfast and lunch, whereas at home she and her mother primarily eat ready-to-eat dinners and occasionally make a home-cooked meal. She is a well-appearing, normal-weight woman with no known medical conditions. She is taking no medications except for an over-the-counter prenatal vitamin-mineral supplement, which she began on her own the day she administered her pregnancy self-test two weeks ago. She does not smoke nor drink alcohol. Because she does not own a car, she walks about four miles a day; however, she has been very tired and may need to decrease the number of shifts she works at the restaurant if that continues. The social worker at the prenatal clinic determines that Deborah is eligible for WIC (Special Supplemental Nutrition Program for Women, Infants, and Children). This program provides:

(Multiple Choice)
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Nutrients and oxygen travel to the developing fetus via the:

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What can medical facilities do to encourage women to breastfeed their infants?

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A lactating mother wants to breastfeed, but she has a short-term prescription for antibiotics that have been shown to cross into breast milk and that could affect her baby. What solution is most appropriate in this situation to protect the health of this mother and her baby?

(Multiple Choice)
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Carrie is days away from delivering her first baby. She has been contemplating breastfeeding for its nutritional and immunological benefits and has been reading about breastfeeding and talking to mothers who breastfed their babies. The birthing center where she receives prenatal care, and where she will deliver her baby, has scheduled Carrie to meet with its lactation expert. Carrie has read the birthing center's "Guide to Successful Breastfeeding" and is prepared to ask the lactation expert about relaxation techniques. Not only is Carrie "high-strung" by nature, but she is quite anxious about the childbirth process, let alone the prospect of breastfeeding. Imagine you are the lactation expert who is counseling Carrie. Carrie can best prepare to breastfeed her infant after delivery by performing which step?

(Multiple Choice)
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Menu for a Pregnant Woman Breakfast 2 scrambled eggs 1 whole-wheat English muffin 1 cup low-fat milk Lunch 2 pieces (4 oz.) fried chicken 2 wheat rolls with butter 1/2 cup mashed potatoes and gravy Iced tea Dinner 3 oz. pork chop 1 piece of bread with butter 2 cups low-fat milk What changes would most improve the adequacy of this menu?

(Multiple Choice)
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The American Academy of Pediatrics and the Academy of Nutrition and Dietetics support exclusive breastfeeding until an infant is _____ months old.

(Multiple Choice)
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Explain how energy needs change as pregnancy progresses.

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If a lactating woman's diet is poor, her milk:

(Multiple Choice)
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What do experts cite as one of the most common deterrents to breastfeeding?

(Multiple Choice)
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The only acceptable alternative to breast milk is:

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Ample carbohydrate is needed by the pregnant woman in order to:

(Multiple Choice)
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To successfully breastfeed her infant, what steps should a mother be encouraged to perform?

(Multiple Choice)
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Mrs. Allen asks about drinking coffee during her pregnancy, stating that she "needs" to have her morning cup of coffee every day. What information regarding caffeine intake during pregnancy is most appropriate?

(Multiple Choice)
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Without proper management of pre-existing diabetes, a woman may face which potential complication associated with pregnancy?

(Multiple Choice)
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When counseling Mrs. Chamberlin regarding the heartburn she is experiencing during pregnancy, what advice should be given that would help relieve symptoms?

(Multiple Choice)
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A pregnant mother wants to increase her intake of folate by choosing foods that are natural sources of the nutrient. The mother should be counseled to increase her intake of what food?

(Multiple Choice)
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In order to best protect herself against dehydration, a lactating woman is advised to drink ____ of fluid per day.

(Multiple Choice)
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