Question 1

A pregnant client asks the nurse if she should take herbal supplements during pregnancy. What is the best response to her query?

Accepted Answer

A)  "As long as you have had no reaction to them in the past, they would be safe to use during pregnancy." 
B)  "Prenatal vitamins are the only things that should be taken during pregnancy." 
C)  "Nutritional supplements will be prescribed by the health care provider based on individual needs." 
D)  "During pregnancy, no supplementation is required because this is considered to be a healthy state." 
A)  "As long as you have had no reaction to them in the past, they would be safe to use during pregnancy." 
B)  "Prenatal vitamins are the only things that should be taken during pregnancy." 
C)  "Nutritional supplements will be prescribed by the health care provider based on individual needs." 
D)  "During pregnancy, no supplementation is required because this is considered to be a healthy state."

Question 2

A client post-delivery is concerned about getting back to her prepregnancy weight. She had only gained 15 pounds during her pregnancy. Which assessment factor would be of concern at her 6-week postpartum checkup?

Accepted Answer

A)  Client has lost 35 pounds during the 6-week period prior to her scheduled checkup. 
B)  Client states that she is eating healthy and limiting intake of processed foods. 
C)  Client relates increased consumption of fruits and vegetables in her diet postbirth. 
D)  Client has resumed her usual exercise pattern of walking around the neighborhood for 10 minutes each night. 
A)  Client has lost 35 pounds during the 6-week period prior to her scheduled checkup. 
B)  Client states that she is eating healthy and limiting intake of processed foods. 
C)  Client relates increased consumption of fruits and vegetables in her diet postbirth. 
D)  Client has resumed her usual exercise pattern of walking around the neighborhood for 10 minutes each night.

Question 3

To determine cultural influences on a client's diet, what should the nurse do first?

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 4

The breastfeeding client whose recommended prepregnancy caloric intake was 2000 calories per day would need how many calories per day to meet her current needs?

Accepted Answer

A)  2300 
B)  2500 
C)  2750 
D)  3000 
A)  2300 
B)  2500 
C)  2750 
D)  3000

Question 5

Which client would require additional calories and nutrients?

Accepted Answer

A)  A 36-year-old female gravida 2, para 1, in her first trimester of pregnancy 
B)  An 18-year-old female who delivered a 7-lb baby and is bottle feeding 
C)  A 23-year-old female who had a cesarean section birth and is bottle feeding 
D)  A 20-year-old female who had a vaginal birth 5 months ago and is breastfeeding 
A)  A 36-year-old female gravida 2, para 1, in her first trimester of pregnancy 
B)  An 18-year-old female who delivered a 7-lb baby and is bottle feeding 
C)  A 23-year-old female who had a cesarean section birth and is bottle feeding 
D)  A 20-year-old female who had a vaginal birth 5 months ago and is breastfeeding

Question 6

A nurse is developing information to give to a group of pregnant women who are interested in nutritional management of their pregnancy with regard to expected weight gain. The nurse bases the amount of weight gain for pregnant women on calculation of their:

Accepted Answer

A)  EDC (expected date of confinement). 
B)  prepregnancy weight. 
C)  BMI (body mass index). 
D)  basal energy expenditure (BE
E) . 
A)  EDC (expected date of confinement). 
B)  prepregnancy weight. 
C)  BMI (body mass index). 
D)  basal energy expenditure (BE
E) .

Question 7

Which client has correctly increased her caloric intake from her recommended pregnancy intake to the amount necessary to sustain breastfeeding in the first 6 postpartum months?

Accepted Answer

A)  From 1800 to 2200 calories per day 
B)  From 2000 to 2500 calories per day 
C)  From 2200 to 2530 calories per day 
D)  From 2500 to 2730 calories per day 
A)  From 1800 to 2200 calories per day 
B)  From 2000 to 2500 calories per day 
C)  From 2200 to 2530 calories per day 
D)  From 2500 to 2730 calories per day

Question 8

Identify the appropriate weight gain at 28 weeks' gestation for a client with a normal BMI (body mass index) before pregnancy.

Accepted Answer

A)  10 pounds 
B)  19 pounds 
C)  25 pounds 
D)  30 pounds 
A)  10 pounds 
B)  19 pounds 
C)  25 pounds 
D)  30 pounds

Question 9

The nurse is teaching a client taking prenatal vitamins how to avoid constipation. Which should the nurse plan to include in the teaching session? (Select all that apply.)

Accepted Answer

A)  Advise taking a daily laxative for constipation. 
B)  Recommend a diet high in fruits and vegetables. 
C)  Encourage an increase in fluid consumption during the day. 
D)  Increase the intake of whole grains and whole grain products. 
E)  Suggest increasing the intake of dairy products, especially cheeses. 
A)  Advise taking a daily laxative for constipation. 
B)  Recommend a diet high in fruits and vegetables. 
C)  Encourage an increase in fluid consumption during the day. 
D)  Increase the intake of whole grains and whole grain products. 
E)  Suggest increasing the intake of dairy products, especially cheeses.

Question 10

When planning a diet for a pregnant client, which nutritional interventions should be implemented?

Accepted Answer

A)  Fluids should be restricted to 6 glasses a day to minimize fluid retention and occurrence of edema. 
B)  Protein in the diet should be increased to meet growth and development needs. 
C)  Nutrient density should be used only if there are problems with weight gain during the course of the pregnancy. 
D)  Advise the client that the pattern of weight gain is not as important as the overall weight gained during the pregnancy. 
A)  Fluids should be restricted to 6 glasses a day to minimize fluid retention and occurrence of edema. 
B)  Protein in the diet should be increased to meet growth and development needs. 
C)  Nutrient density should be used only if there are problems with weight gain during the course of the pregnancy. 
D)  Advise the client that the pattern of weight gain is not as important as the overall weight gained during the pregnancy.

Question 11

To increase the absorption of iron in a pregnant client, with what should an iron preparation be given?

Accepted Answer

A)  Tea 
B)  Milk 
C)  Coffee 
D)  Orange juice 
A)  Tea 
B)  Milk 
C)  Coffee 
D)  Orange juice

Question 12

When explaining the recommended weight gain to your client, the nurse's teaching should include which statement?

Accepted Answer

A)  "All pregnant women need to gain a minimum of 25 to 35 pounds." 
B)  "The fetus, amniotic fluid, and placenta require 15 pounds of weight gain." 
C)  "Weigh gain in pregnancy is based on the client's prepregnant body mass index." 
D)  "More weight should be gained in the first and second trimesters and less in the third." 
A)  "All pregnant women need to gain a minimum of 25 to 35 pounds." 
B)  "The fetus, amniotic fluid, and placenta require 15 pounds of weight gain." 
C)  "Weigh gain in pregnancy is based on the client's prepregnant body mass index." 
D)  "More weight should be gained in the first and second trimesters and less in the third."

Question 13

A pregnant client's diet may not meet her need for folate. What is a good 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 14

The nurse is teaching a pregnant client about food safety during pregnancy and lactation. Which statements by the client indicate she understood the teaching? (Select all that apply.)

Accepted Answer

A)  "I will limit my intake of shrimp to 12 oz a week." 
B)  "I will avoid the soft cheeses made with unpasteurized milk." 
C)  "I plan to continue to pack my bologna sandwich for lunch." 
D)  "I am glad I can still go to the sushi bar during my pregnancy." 
E)  "I will not eat any swordfish or shark while I am pregnant or nursing." 
A)  "I will limit my intake of shrimp to 12 oz a week." 
B)  "I will avoid the soft cheeses made with unpasteurized milk." 
C)  "I plan to continue to pack my bologna sandwich for lunch." 
D)  "I am glad I can still go to the sushi bar during my pregnancy." 
E)  "I will not eat any swordfish or shark while I am pregnant or nursing."

Question 15

What will the nurse advise when providing nutrition education to the pregnant client?

Accepted Answer

A)  "Every day you need to have at least 6 ounces of protein from sources such as meat, fish, eggs, beans, nuts, soybean products, and tofu." 
B)  "High-dose vitamin A supplements will promote optimal vision while preventing a common cause of blindness in neonates." 
C)  "Meals such as sushi with a cold deli salad made with raw sprouts combine high-fiber foods with protein sources to meet multiple nutritional needs." 
D)  "Vitamin and mineral supplements can meet your nutrient needs if you have inadequate intake because of nausea or a sensation of fullness." 
A)  "Every day you need to have at least 6 ounces of protein from sources such as meat, fish, eggs, beans, nuts, soybean products, and tofu." 
B)  "High-dose vitamin A supplements will promote optimal vision while preventing a common cause of blindness in neonates." 
C)  "Meals such as sushi with a cold deli salad made with raw sprouts combine high-fiber foods with protein sources to meet multiple nutritional needs." 
D)  "Vitamin and mineral supplements can meet your nutrient needs if you have inadequate intake because of nausea or a sensation of fullness."

Question 16

The traditional diet of Asian women includes little meat and few dairy products and may be low in calcium and iron. The nurse can help a client increase her intake of these foods by which action?

Accepted Answer

A)  Suggest that she eat more tofu, bok choy, and broccoli. 
B)  Suggest that she eat more hot foods during pregnancy. 
C)  Emphasize the need for increased milk intake during pregnancy. 
D)  Tell her husband that she must increase her intake of fruits and vegetables for the baby's sake. 
A)  Suggest that she eat more tofu, bok choy, and broccoli. 
B)  Suggest that she eat more hot foods during pregnancy. 
C)  Emphasize the need for increased milk intake during pregnancy. 
D)  Tell her husband that she must increase her intake of fruits and vegetables for the baby's sake.

Question 17

A nurse is teaching a nutrition class to a group of pregnant clients. The nurse should include that the major source of nutrients in the diet of a pregnant woman should be composed of which?

Accepted Answer

A)  Fats 
B)  Fiber 
C)  Simple sugars 
D)  Complex carbohydrates 
A)  Fats 
B)  Fiber 
C)  Simple sugars 
D)  Complex carbohydrates

Question 18

Match each term with the correct definition.
-Vitamin D

Accepted Answer

A) Necessary for metabolism of calcium 
B) Necessary for mineralization of fetal bones and teeth 
C) Deficiency in first weeks of pregnancy may cause spontaneous abortion and neural tube defects 
A) Necessary for metabolism of calcium 
B) Necessary for mineralization of fetal bones and teeth 
C) Deficiency in first weeks of pregnancy may cause spontaneous abortion and neural tube defects

Question 19

Match each term with the correct definition.
-Folic acid

Accepted Answer

A) Necessary for metabolism of calcium 
B) Necessary for mineralization of fetal bones and teeth 
C) Deficiency in first weeks of pregnancy may cause spontaneous abortion and neural tube defects 
A) Necessary for metabolism of calcium 
B) Necessary for mineralization of fetal bones and teeth 
C) Deficiency in first weeks of pregnancy may cause spontaneous abortion and neural tube defects

Question 20

When should iron supplementation during a normal pregnancy begin?

Accepted Answer

A)  Before pregnancy 
B)  In the first trimester 
C)  In the third trimester 
D)  In the second trimester 
A)  Before pregnancy 
B)  In the first trimester 
C)  In the third trimester 
D)  In the second trimester

Exam 9: Nutrition for Childbearing

A pregnant client asks the nurse if she should take herbal supplements during pregnancy. What is the best response to her query?

A client post-delivery is concerned about getting back to her prepregnancy weight. She had only gained 15 pounds during her pregnancy. Which assessment factor would be of concern at her 6-week postpartum checkup?

To determine cultural influences on a client's diet, what should the nurse do first?

The breastfeeding client whose recommended prepregnancy caloric intake was 2000 calories per day would need how many calories per day to meet her current needs?

Which client would require additional calories and nutrients?

A nurse is developing information to give to a group of pregnant women who are interested in nutritional management of their pregnancy with regard to expected weight gain. The nurse bases the amount of weight gain for pregnant women on calculation of their:

Which client has correctly increased her caloric intake from her recommended pregnancy intake to the amount necessary to sustain breastfeeding in the first 6 postpartum months?

Identify the appropriate weight gain at 28 weeks' gestation for a client with a normal BMI (body mass index) before pregnancy.

The nurse is teaching a client taking prenatal vitamins how to avoid constipation. Which should the nurse plan to include in the teaching session? (Select all that apply.)

When planning a diet for a pregnant client, which nutritional interventions should be implemented?

To increase the absorption of iron in a pregnant client, with what should an iron preparation be given?

When explaining the recommended weight gain to your client, the nurse's teaching should include which statement?

A pregnant client's diet may not meet her need for folate. What is a good source of this nutrient?

The nurse is teaching a pregnant client about food safety during pregnancy and lactation. Which statements by the client indicate she understood the teaching? (Select all that apply.)

What will the nurse advise when providing nutrition education to the pregnant client?

The traditional diet of Asian women includes little meat and few dairy products and may be low in calcium and iron. The nurse can help a client increase her intake of these foods by which action?

A nurse is teaching a nutrition class to a group of pregnant clients. The nurse should include that the major source of nutrients in the diet of a pregnant woman should be composed of which?

Match each term with the correct definition. -Vitamin D

Match each term with the correct definition. -Folic acid

When should iron supplementation during a normal pregnancy begin?

Maternity and Women's Health Care Today

The Nurse's Role in Maternity and Women's Health Care

Ethical, Social, and Legal Issues

Reproductive Anatomy and Physiology

Hereditary and Environmental Influences on Childbearing

Conception and Prenatal Development

Physiologic Adaptations to Pregnancy

Psychosocial Adaptations to Pregnancy

Antepartum Fetal Assessment

Perinatal Education

Processes of Birth

Nursing Care During Labor and Birth

Intrapartum Fetal Surveillance

Pain Management During Childbirth

Nursing Care During Obstetric Procedures

Postpartum Physiologic Adaptations

Postpartum Psychosocial Adaptations

Normal Newborn: Processes of Adaptation

Assessment of the Normal Newborn

Care of the Normal Newborn

Infant Feeding

Home Care of the Infant

The Childbearing Family with Special Needs

Complications of Pregnancy

Concurrent Disorders During Pregnancy

Intrapartum Complications

Postpartum Maternal Complications

High-Risk Newborn: Complications Associated with Gestational Age and Development

High-Risk Newborn: Acquired and Congenital Conditions

Family Planning

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