Question 1

The children of which group of women should a nurse expect to be at higher risk for developing NTDs?

Accepted Answer

A)  Hispanic women
B)  Non-Hispanic white women
C)  Black women
D)  Asian women A

Question 2

Which clients are at an increased risk of excessive gestational weight gain? Select all that apply.

Accepted Answer

A)  African American women
B)  Lower-income women
C)  Overweight women
D)  Hispanic American women
E)  Obese women A,B,C,E

Question 3

A nurse teaches pregnant clients about neural tube defects (NTDs) that can cause brain and spinal defects in infants. Which nutrient should the nurse mention in this discussion?

Accepted Answer

A)  Folic acid
B)  Linoleic acid
C)  Vitamin C
D)  Vitamin D A

Question 4

A nurse is leading a seminar about nutrition during pregnancy. Which statement made by the nurse is correct?

Accepted Answer

A)  Nutrition comes from the baby in utero through the placenta.
B)  Appropriate nutrition helps the pregnancy remain stable throughout.
C)  Appropriate nutrition is critical from within 2 to 3 months of conception.
D)  Nutritional needs during pregnancy are the same for women of all ages.

Question 5

Why does a nurse expect a pregnant mother to monitor fatty acid intake?

Accepted Answer

A)  Growth development
B)  Limbic system development
C)  Fetal brain development
D)  Placental development

Question 6

A nurse is teaching a class on calcium and maternal health. Which of the following should be mentioned in the class? Select all that apply.

Accepted Answer

A)  Calcium absorption increases during pregnancy.
B)  Supplemental calcium is not needed.
C)  About 50% of maternal bone mass is utilized.
D)  About 5% of bone mass is used in lactation.
E)  Calcium reduces risk of maternal death.

Question 7

A nurse is caring for a pregnant woman diagnosed with vitamin A excess. Which treatment does the nurse suspect the woman received during the first trimester?

Accepted Answer

A)  Isotretinoin
B)  Iron
C)  Vitamin C
D)  Calcitonin

Question 8

A nurse is caring for a pregnant client in her second trimester. By how much should the nurse expect the client to increase her energy intake per day?

Accepted Answer

A)  340 kilocalories per day
B)  452 kilocalories per day
C)  500 kilocalories per day
D)  1,000 kilocalories per day

Question 9

Which vitamin does the placenta concentrate so that the fetus can store it and use it during the first few months of life?

Accepted Answer

A)  B6
B)  B12
C)  Folic acid
D)  Vitamin C

Question 10

A nurse is caring for a pregnant client diagnosed with listeriosis. The nurse is concerned about which symptoms? Select all that apply.

Accepted Answer

A)  Spontaneous abortion
B)  Stillbirth
C)  Septicemia
D)  Brain defects
E)  Meningitis

Question 11

A nurse is teaching pregnant clients about healthy living and obtaining adequate fatty acids (DHA) from the foods in our diets. Which food source would the nurse include in this discussion?

Accepted Answer

A)  Fish
B)  Peanuts
C)  Olive oil
D)  Pickles

Question 12

A nurse is teaching a pregnant mother how to take iron supplements. Which statements by the client indicate that teaching is successful? Select all that apply.

Accepted Answer

A)  "I should take the supplement with vitamin C for absorption."
B)  "I may have to take a stool softener if I feel constipated."
C)  "I can stop taking the supplement once symptoms improve."
D)  "I need to take the supplement 2 hours prior to a meal."
E)  "I should take the supplement an hour after my meals."

Question 13

A nurse is caring for a pregnant client diagnosed with iron deficiency anemia (IDA). Which of the following does the nurse expect?

Accepted Answer

A)  Prescription of an antacid
B)  Prescription of additional folate
C)  Increased risk of maternal death
D)  Increased risk of NTDs

Question 14

A nurse is caring for a pregnant client who says she is actively working to reduce her risk of exposure to listeriosis. What actions does the nurse expect the client to be taking? Select all that apply.

Accepted Answer

A)  Avoiding consumption of Brie and feta cheeses
B)  Cooking leftover food to 165°F
C)  Refrigerating uneaten foods within 2 hours
D)  Storing food at 45 °F or lower
E)  Avoiding consumption of pasteurized milk

Question 15

Which of the following may occur due to insufficient folate intake during pregnancy? Select all that apply.

Accepted Answer

A)  Spina bifida
B)  Anencephaly
C)  Meningoencephalocele
D)  Hydranencephaly
E)  Iniencephaly

Question 16

A nurse is teaching a breastfeeding class to expectant mothers. Which of the following statements should the nurse share with the mothers? Select all that apply.

Accepted Answer

A)  "You can expect to produce around 15 ounces of milk daily."
B)  "Breast milk is comprised of what you eat and what your body has stored."
C)  "Even if your nutrient intake is slightly low, your baby may still get adequate nutrition from breast milk."
D)  "You should avoid breastfeeding if you are on antidepressants."
E)  "You can consume up to 5 cups of coffee per day and still breastfeed."

Question 17

A nurse is caring for a pregnant adolescent in her second trimester. What should the nurse be careful to assess with this client? Select all that apply.

Accepted Answer

A)  Income
B)  Client growth and development
C)  Nutrition
D)  School performance
E)  Abuse

Question 18

A nurse teaches clients in a prepregnancy nutrition class that protein is required to build fetal tissue. Which comment about the recommended dietary allowance (RDA) of protein for pregnant women is correct?

Accepted Answer

A)  "The protein requirements are the same as always for me."
B)  "I will have to increase my protein by a little more than half."
C)  "I will need to increase my protein to 54 grams per day."
D)  "The protein requirements for me will increase by 71%."

Question 19

In order to reduce the risk of maternal anemia, what types of foods does a nurse help a pregnant client identify? Select all that apply.

Accepted Answer

A)  Beef
B)  Spinach
C)  Eggs
D)  Soybeans
E)  Grains

Question 20

A nurse is caring for a 45-year-old client pregnant with her first child. Which assessments does the nurse expect to discuss? Select all that apply.

Accepted Answer

A)  Height
B)  Weight
C)  Activity
D)  Nutrition
E)  Income

Exam 10: Life Cycle Nutrition: Pregnancy and Lactation