Question 1

Which is the most important reason for evaluating the pattern of weight gain in pregnancy?

Accepted Answer

A)  Prevents excessive adipose tissue deposits 
B)  Determines cultural influences on the woman's diet 
C)  Assesses the need to limit caloric intake in obese women 
D)  Identifies potential nutritional problems or complications of pregnancy 
A)  Prevents excessive adipose tissue deposits 
B)  Determines cultural influences on the woman's diet 
C)  Assesses the need to limit caloric intake in obese women 
D)  Identifies potential nutritional problems or complications of pregnancy

Question 2

The pregnant client with significant iron deficiency anemia is prescribed iron supplements. The client confides to the nurse that she can't take iron because it makes her nauseous. What is the best response by the nurse?

Accepted Answer

A)  "Iron will be absorbed more readily if taken with orange juice." 
B)  "It is important to take this drug regardless of this side effect." 
C)  "Taking the drug with milk may decrease your symptoms." 
D)  "Try taking the iron at bedtime on an empty stomach." 
A)  "Iron will be absorbed more readily if taken with orange juice." 
B)  "It is important to take this drug regardless of this side effect." 
C)  "Taking the drug with milk may decrease your symptoms." 
D)  "Try taking the iron at bedtime on an empty stomach."

Question 3

When planning a diet with a pregnant client, what should the nurse's first action be?

Accepted Answer

A)  Teach the client about MyPlate. 
B)  Review the client's current dietary intake. 
C)  Instruct the client to limit the intake of fatty foods. 
D)  Caution the client to avoid large doses of vitamins, especially those that are fat-soluble. 
A)  Teach the client about MyPlate. 
B)  Review the client's current dietary intake. 
C)  Instruct the client to limit the intake of fatty foods. 
D)  Caution the client to avoid large doses of vitamins, especially those that are fat-soluble.

Question 4

The pregnant woman of normal weight enters her 13th week of pregnancy. If the client eats and exercises as directed, what will the nurse anticipate as the ongoing weight gain for the remaining trimesters?

Accepted Answer

A)  0.3 pound every week 
B)  1 pound every week 
C)  1.8 pounds every week 
D)  2 pounds every week 
A)  0.3 pound every week 
B)  1 pound every week 
C)  1.8 pounds every week 
D)  2 pounds every week

Question 5

A client with a BMI of 32 has a positive pregnancy test. What is the maximum number of pounds that the nurse will advise the client to gain during the pregnancy?

Accepted Answer

A)  20 
B)  25 
C)  28 
D)  40 
A)  20 
B)  25 
C)  28 
D)  40

Question 6

Which pregnant adolescent is most at risk for a nutritional deficit during pregnancy?

Accepted Answer

A)  A 16-year-old who is 10 lb overweight 
B)  A 17-year-old who is 10 lb underweight 
C)  A 15-year-old of normal height and weight 
D)  A 16-year-old of normal height and weight 
A)  A 16-year-old who is 10 lb overweight 
B)  A 17-year-old who is 10 lb underweight 
C)  A 15-year-old of normal height and weight 
D)  A 16-year-old of normal height and weight

Question 7

In teaching a pregnant adolescent about nutrition, what should the nurse plan to do?

Accepted Answer

A)  Determine the weight gain needed to meet adolescent growth and add 35 lb. 
B)  Suggest that she not eat at fast food restaurants to avoid foods of poor nutritional value. 
C)  Realize that most adolescents are unwilling to make dietary changes during pregnancy. 
D)  Emphasize the need to eliminate common teen snack foods because they are too high in fat and sodium. 
A)  Determine the weight gain needed to meet adolescent growth and add 35 lb. 
B)  Suggest that she not eat at fast food restaurants to avoid foods of poor nutritional value. 
C)  Realize that most adolescents are unwilling to make dietary changes during pregnancy. 
D)  Emphasize the need to eliminate common teen snack foods because they are too high in fat and sodium.

Question 8

A pregnant client asks the nurse if she can double her prenatal vitamin dose because she doesn't like to eat vegetables. What is the nurse's response about the danger of taking excessive vitamins?

Accepted Answer

A)  Increases caloric intake 
B)  Has toxic effects on the fetus 
C)  Increases absorption of all vitamins 
D)  Promotes development of pregnancy-induced hypertension (PIH) 
A)  Increases caloric intake 
B)  Has toxic effects on the fetus 
C)  Increases absorption of all vitamins 
D)  Promotes development of pregnancy-induced hypertension (PIH)

Question 9

Which of the following is associated with inadequate maternal weight gain during pregnancy?

Accepted Answer

A)  Prolonged labor 
B)  Preeclampsia 
C)  Gestational diabetes 
D)  Low-birth-weight infant 
A)  Prolonged labor 
B)  Preeclampsia 
C)  Gestational diabetes 
D)  Low-birth-weight infant

Question 10

A client who is in week 28 of gestation is concerned about her weight gain of 17 lb. Which is the nurse's best response?

Accepted Answer

A)  "You should not gain any more weight until you reach the third trimester." 
B)  "You should try to decrease your amount of weight gain for the next 12 weeks." 
C)  "You have not gained enough weight for the number of weeks of your pregnancy." 
D)  "You have gained an appropriate amount for the number of weeks of your pregnancy." 
A)  "You should not gain any more weight until you reach the third trimester." 
B)  "You should try to decrease your amount of weight gain for the next 12 weeks." 
C)  "You have not gained enough weight for the number of weeks of your pregnancy." 
D)  "You have gained an appropriate amount for the number of weeks of your pregnancy."

Question 11

The nurse is advising a lactose-intolerant pregnant client about calcium intake. Which calcium sources are approximately equivalent to 1 cup of milk? (Select all that apply.)

Accepted Answer

A)  $3 / 4$ cup yogurt 
B)  1 cup of sherbet 
C)  1 1/4 oz of hard cheese 
D)  1 1/4 cups of ice cream 
E)  $3 / 4$ cup of low-fat cottage cheese 
A)  $3 / 4$ cup yogurt 
B)  1 cup of sherbet 
C)  1 1/4 oz of hard cheese 
D)  1 1/4 cups of ice cream 
E)  $3 / 4$ cup of low-fat cottage cheese

Question 12

Match each term with the correct definition.
-Zinc

Accepted Answer

A) Important in cell growth and neuromuscular function 
B) Important in thyroid function 
C) Important in DNA and RNA synthesis 
A) Important in cell growth and neuromuscular function 
B) Important in thyroid function 
C) Important in DNA and RNA synthesis

Question 13

What is the recommended weight gain during pregnancy for a client who begins pregnancy at a normal weight?

Accepted Answer

A)  10 to 15 lb 
B)  15 to 20 lb 
C)  20 to 25 lb 
D)  25 to 35 lb 
A)  10 to 15 lb 
B)  15 to 20 lb 
C)  20 to 25 lb 
D)  25 to 35 lb

Exam 9: Nutrition for Childbearing

Which is the most important reason for evaluating the pattern of weight gain in pregnancy?

The pregnant client with significant iron deficiency anemia is prescribed iron supplements. The client confides to the nurse that she can't take iron because it makes her nauseous. What is the best response by the nurse?

When planning a diet with a pregnant client, what should the nurse's first action be?

The pregnant woman of normal weight enters her 13th week of pregnancy. If the client eats and exercises as directed, what will the nurse anticipate as the ongoing weight gain for the remaining trimesters?

A client with a BMI of 32 has a positive pregnancy test. What is the maximum number of pounds that the nurse will advise the client to gain during the pregnancy?

Which pregnant adolescent is most at risk for a nutritional deficit during pregnancy?

In teaching a pregnant adolescent about nutrition, what should the nurse plan to do?

A pregnant client asks the nurse if she can double her prenatal vitamin dose because she doesn't like to eat vegetables. What is the nurse's response about the danger of taking excessive vitamins?

Which of the following is associated with inadequate maternal weight gain during pregnancy?

A client who is in week 28 of gestation is concerned about her weight gain of 17 lb. Which is the nurse's best response?

The nurse is advising a lactose-intolerant pregnant client about calcium intake. Which calcium sources are approximately equivalent to 1 cup of milk? (Select all that apply.)

Match each term with the correct definition. -Zinc

What is the recommended weight gain during pregnancy for a client who begins pregnancy at a normal weight?

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

Infertility

Preventive Care for Women

Women's Health Problems

Infertility

Preventive Care for Women

Women's Health Problems

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