Exam 8: Maternal and Fetal Nutrition

A 27-year-old pregnant woman had a preconceptual body mass index (BMI) of 18.0. The nurse knows that this woman's total recommended weight gain during pregnancy should be at least:

Pregnant adolescents are at high risk for _____ because of lower body mass indices (BMIs) and "fad" dieting.

A woman in week 34 of pregnancy reports that she is very uncomfortable because of heartburn. The nurse would suggest that the woman:

Nutrition is one of the most significant factors in influencing the outcome of a pregnancy. It 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 patient, the nurse can evaluate the patient's nutritional status by observing a number of physical signs. Which sign would indicate that the patient has unmet nutritional needs?

To prevent gastrointestinal upset, patients should be instructed to take iron supplements:

A pregnant woman experiencing nausea and vomiting should:

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

Which nutritional recommendation about fluids is accurate?

While taking a diet history, the nurse might be told that the expectant mother has cravings for ice chips, cornstarch, and baking soda. This represents a nutritional problem known as:

Which statement about acronyms in nutrition is accurate?

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

To help a woman reduce the severity of nausea caused by morning sickness, the nurse might suggest that she:

Three servings of milk, yogurt, or cheese plus two servings of meat, poultry, or fish will adequately supply the recommended amount of protein for the pregnant woman. Many patients are concerned about the increased levels of mercury in fish and may be afraid to include this source of nutrients in their diet. Sound advice by the nurse to assist the patient in determining which fish is safe to consume would include:

With regard to protein in the diet of pregnant women, nurses should be aware that:

Most women with uncomplicated pregnancies can use the nurse as their primary source for nutritional information. The nurse or midwife should refer a patient to a registered dietitian for in-depth nutritional counseling when which of the following exist(s)? (Choose all that apply.)

Which of the following meals would provide the most absorbable iron?

A 22-year-old woman pregnant with a single fetus has a preconception body mass index (BMI) of 24. When she was seen in the clinic at 14 weeks of gestation, she had gained 1.8 kg (4 lb) since conception. How would the nurse interpret this?

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

A woman has come to the clinic for preconception counseling because she wants to start trying to get pregnant in 3 months. She can expect the following advice:

A pregnant woman's diet history indicates that she likes the following list of foods. The nurse would encourage this woman to consume more of which food to increase her calcium intake?