Question 1

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

Accepted Answer

A)  On a full stomach 
B)  At bedtime 
C)  After eating a meal 
D)  With milk 
A)  On a full stomach 
B)  At bedtime 
C)  After eating a meal 
D)  With milk

Question 2

Which minerals and vitamins are usually recommended as a supplement in a pregnant client's diet?

Accepted Answer

A)  Fat-soluble vitamins A and D 
B)  Water-soluble vitamins C and B6 
C)  Iron and folate 
D)  Calcium and zinc 
A)  Fat-soluble vitamins A and D 
B)  Water-soluble vitamins C and B6 
C)  Iron and folate 
D)  Calcium and zinc

Question 3

Which guidance might the nurse provide for a client with severe morning sickness?

Accepted Answer

A)  Trying lemonade and potato chips 
B)  Drinking plenty of fluids early in the day 
C)  Immediately brushing her teeth after eating 
D)  Never snacking before bedtime 
A)  Trying lemonade and potato chips 
B)  Drinking plenty of fluids early in the day 
C)  Immediately brushing her teeth after eating 
D)  Never snacking before bedtime

Question 4

Maternal nutritional status is an especially significant factor of the many that influence the outcome of pregnancy.Why is this the case?

Accepted Answer

A)  Maternal nutritional status is extremely difficult to adjust because of an individual's ingrained eating habits. 
B)  Adequate nutrition is an important preventive measure for a variety of problems. 
C)  Women love obsessing about their weight and diets. 
D)  A woman's preconception weight becomes irrelevant. 
A)  Maternal nutritional status is extremely difficult to adjust because of an individual's ingrained eating habits. 
B)  Adequate nutrition is an important preventive measure for a variety of problems. 
C)  Women love obsessing about their weight and diets. 
D)  A woman's preconception weight becomes irrelevant.

Question 5

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

Accepted Answer

A)  Evaluate the client's weight gain during pregnancy. 
B)  Assess the socioeconomic status of the client. 
C)  Discuss the four food groups with the client. 
D)  Identify the food preferences and methods of food preparation common to the client's culture. 
A)  Evaluate the client's weight gain during pregnancy. 
B)  Assess the socioeconomic status of the client. 
C)  Discuss the four food groups with the client. 
D)  Identify the food preferences and methods of food preparation common to the client's culture.

Question 6

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

Accepted Answer

A)  The mother's intake of vitamin C, zinc, and protein can now be lower than during pregnancy. 
B)  Caffeine consumed by the mother accumulates in the infant, who may be unusually active and wakeful. 
C)  Critical iron and folic acid levels must be maintained. 
D)  Lactating women can go back to their prepregnant caloric intake. 
A)  The mother's intake of vitamin C, zinc, and protein can now be lower than during pregnancy. 
B)  Caffeine consumed by the mother accumulates in the infant, who may be unusually active and wakeful. 
C)  Critical iron and folic acid levels must be maintained. 
D)  Lactating women can go back to their prepregnant caloric intake.

Question 7

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

Accepted Answer

A)  In pregnancy, the woman's height is not a factor in determining her target weight. 
B)  Obese women may have their health concerns, but their risk of giving birth to a child with major congenital defects is the same as with women of normal weight. 
C)  Women with inadequate weight gain have an increased risk of delivering a preterm infant with intrauterine growth restriction (IUGR). 
D)  Greater than expected weight gain during pregnancy is almost always attributable to old-fashioned overeating. 
A)  In pregnancy, the woman's height is not a factor in determining her target weight. 
B)  Obese women may have their health concerns, but their risk of giving birth to a child with major congenital defects is the same as with women of normal weight. 
C)  Women with inadequate weight gain have an increased risk of delivering a preterm infant with intrauterine growth restriction (IUGR). 
D)  Greater than expected weight gain during pregnancy is almost always attributable to old-fashioned overeating.

Question 8

In providing counseling to pregnant women, the nurse can include information on the components of weight gain during pregnancy and the amount of weight that will be lost after the birth. Match the tissues contributing to maternal weight gain at 40 weeks of gestation with the approximate amount of weight gain in kilograms.

-Blood volume

Accepted Answer

A) 0.5 to 1.8 
B) 1.8 to 2.3 
C) 3.2 to 3.9 
D) 0.9 
E) 0.9 to 1.1 
A) 0.5 to 1.8 
B) 1.8 to 2.3 
C) 3.2 to 3.9 
D) 0.9 
E) 0.9 to 1.1

Question 9

The nurse has formulated a diagnosis of Imbalanced nutrition: Less than body requirements for the client.Which goal is most appropriate for this client to obtain?

Accepted Answer

A)  Gain a total of 30 pounds. 
B)  Consistently take daily supplements. 
C)  Decrease her intake of snack foods. 
D)  Increase her intake of complex carbohydrates. 
A)  Gain a total of 30 pounds. 
B)  Consistently take daily supplements. 
C)  Decrease her intake of snack foods. 
D)  Increase her intake of complex carbohydrates.

Question 10

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

Accepted Answer

A)  Drink several glasses of fluid. 
B)  Eat extra protein sources such as peanut butter. 
C)  Enjoy salty foods to replace lost sodium. 
D)  Consume easily digested sources of carbohydrate. 
A)  Drink several glasses of fluid. 
B)  Eat extra protein sources such as peanut butter. 
C)  Enjoy salty foods to replace lost sodium. 
D)  Consume easily digested sources of carbohydrate.

Question 11

In providing counseling to pregnant women, the nurse can include information on the components of weight gain during pregnancy and the amount of weight that will be lost after the birth. Match the tissues contributing to maternal weight gain at 40 weeks of gestation with the approximate amount of weight gain in kilograms.

-Placenta

Accepted Answer

A) 0.5 to 1.8 
B) 1.8 to 2.3 
C) 3.2 to 3.9 
D) 0.9 
E) 0.9 to 1.1 
A) 0.5 to 1.8 
B) 1.8 to 2.3 
C) 3.2 to 3.9 
D) 0.9 
E) 0.9 to 1.1

Question 12

Which pregnant woman should strictly follow weight gain recommendations during pregnancy?

Accepted Answer

A)  Pregnant with twins 
B)  In early adolescence 
C)  Shorter than 62 inches or 157 cm 
D)  Was 20 pounds overweight before pregnancy 
A)  Pregnant with twins 
B)  In early adolescence 
C)  Shorter than 62 inches or 157 cm 
D)  Was 20 pounds overweight before pregnancy

Question 13

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?

Accepted Answer

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. 
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.

Question 14

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

Accepted Answer

A)  Many protein-rich foods are also good sources of calcium, iron, and B vitamins. 
B)  Many women need to increase their protein intake during pregnancy. 
C)  As with carbohydrates and fat, no specific recommendations exist for the amount of protein in the diet. 
D)  High-protein supplements can be used without risk by women on macrobiotic diets. 
A)  Many protein-rich foods are also good sources of calcium, iron, and B vitamins. 
B)  Many women need to increase their protein intake during pregnancy. 
C)  As with carbohydrates and fat, no specific recommendations exist for the amount of protein in the diet. 
D)  High-protein supplements can be used without risk by women on macrobiotic diets.

Question 15

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?

Accepted Answer

A)  Canned white tuna is a preferred choice. 
B)  Shark, swordfish, and mackerel should be avoided. 
C)  Fish caught in local waterways is the safest. 
D)  Salmon and shrimp contain high levels of mercury. 
A)  Canned white tuna is a preferred choice. 
B)  Shark, swordfish, and mackerel should be avoided. 
C)  Fish caught in local waterways is the safest. 
D)  Salmon and shrimp contain high levels of mercury.

Question 16

Which statement made by a lactating woman leads the nurse to believe that the client might have lactose intolerance?

Accepted Answer

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." 
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."

Question 17

Pregnant adolescents are at greater risk for decreased BMI and "fad" dieting with which condition?

Accepted Answer

A)  Obesity 
B)  Gestational diabetes 
C)  Low-birth-weight babies 
D)  High-birth-weight babies 
A)  Obesity 
B)  Gestational diabetes 
C)  Low-birth-weight babies 
D)  High-birth-weight babies

Question 18

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

Accepted Answer

A)  Chicken 
B)  Cheese 
C)  Potatoes 
D)  Green leafy vegetables 
A)  Chicken 
B)  Cheese 
C)  Potatoes 
D)  Green leafy vegetables

Question 19

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).

Accepted Answer

A)  Preexisting or gestational illness such as diabetes 
B)  Ethnic or cultural food patterns 
C)  Obesity 
D)  Vegetarian diets 
E)  Multifetal pregnancy 
A)  Preexisting or gestational illness such as diabetes 
B)  Ethnic or cultural food patterns 
C)  Obesity 
D)  Vegetarian diets 
E)  Multifetal pregnancy

Exam 15: Maternal and Fetal Nutrition

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

Which minerals and vitamins are usually recommended as a supplement in a pregnant client's diet?

Which guidance might the nurse provide for a client with severe morning sickness?

Maternal nutritional status is an especially significant factor of the many that influence the outcome of pregnancy.Why is this the case?

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

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

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

The nurse has formulated a diagnosis of Imbalanced nutrition: Less than body requirements for the client.Which goal is most appropriate for this client to obtain?

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

Which pregnant woman should strictly follow weight gain recommendations during pregnancy?

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?

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?

Which statement made by a lactating woman leads the nurse to believe that the client might have lactose intolerance?

Pregnant adolescents are at greater risk for decreased BMI and "fad" dieting with which condition?

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

21st Century Maternity and Women’s Health Nursing

Community Care: The Family and Culture

Nursing and Genomics

Assessment and Health Promotion

Violence Against Women

Reproductive System Concerns

Sexually Transmitted and Other Infections

Contraception and Abortion

Infertility

Problems of the Breast

Structural Disorders and Neoplasms of the Reproductive System

Conception and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Labor and Birth Processes

Maximizing Comfort for the Laboring Woman

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Postpartum Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

Assessment of High Risk Pregnancy

Hypertensive Disorders

Hemorrhagic Disorders

Endocrine and Metabolic Disorders

Medical-Surgical Disorders

Mental Health Disorders and Substance Abuse

Labor and Birth Complications

Postpartum Complications

Nursing Care of the High Risk Newborn

Acquired Problems of the Newborn

Hemolytic Disorders and Congenital Anomalies

Perinatal Loss, Bereavement, and Grief

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