Question 1

To determine cultural influences on a patient's diet, what is the nurse's primary action?

Accepted Answer

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

Question 2

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

Accepted Answer

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

Question 3

A patient postdelivery is concerned about getting back to her prepregnancy weight as soon as possible. She had only gained 15 lb during her pregnancy. Which assessment factor would be of concern at her 6-week postpartum checkup?

Accepted Answer

A)  Patient has lost 30 lb during the 6-week period prior to her scheduled checkup. 
B)  Patient states that she is eating healthy and limiting intake of processed foods. 
C)  Patient relates increased consumption of fruits and vegetables in her diet postbirth. 
D)  Patient has resumed her usual exercise pattern of walking around the neighborhood for 10 minutes each night.

Question 4

A patient at 8 weeks' gestation complains to the nurse, "I feel sick almost every morning. And I throw up at least two or three times a week." What is the nurse's best guidance for this patient?

Accepted Answer

A)  "Do you like cheese?" 
B)  "Try eating four meals a day instead of three meals a day." 
C)  "Try eating peanut butter on whole wheat bread right before going to bed." 
D)  "If you can eat enough throughout the day, you don't have to worry about being sick."

Question 5

The traditional diet of Asian women includes little meat and few dairy products and may be low in calcium and iron. The nurse can assist a patient 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.

Question 6

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

Accepted Answer

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

Question 7

In teaching a pregnant adolescent about nutrition, what should the nurse include in the care plan?

Accepted Answer

A)  Determine the weight gain needed to meet adolescent growth and add 35 lb. 
B)  Suggest that she does 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

Which patient is most at risk for a low-birth-weight infant?

Accepted Answer

A)  22-year-old, 60 inches tall, normal prepregnant weight 
B)  18-year-old, 64 inches tall, body mass index is <18.5 
C)  30-year-old, 78 inches tall, prepregnant weight is 15 lb above the norm 
D)  35-year-old, 75 inches tall, total weight gain in previous pregnancies was 33 lb

Question 9

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

Accepted Answer

A)  0.3 lb every week 
B)  1 lb every week 
C)  1.8 lb every week 
D)  2 lb every week

Question 10

A pregnant patient arrives for her first prenatal visit at the clinic. She informs the nurse that she has been taking an additional 400 mcg of folic acid prior to becoming pregnant. Based on the patient's history, she has reached 8 weeks' gestation. Which recommendation would the nurse provide regarding folic acid supplementation?

Accepted Answer

A)  Have the patient continue to take 400 mcg folic acid throughout her pregnancy. 
B)  Tell the patient that she no longer has to take additional folic acid because it will be included in her prenatal vitamins. 
C)  Have the patient increase her folic acid intake to 1000 mcg throughout the rest of her pregnancy. 
D)  Schedule the patient to go for an AFP (alpha-fetoprotein) test.

Question 11

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

Accepted Answer

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

Question 12

Which patient 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

Question 13

The nurse is teaching a patient 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.

Question 14

A pregnant patient has lactose intolerance. Which recommendation will the nurse provide to best help the patient meet dietary needs for calcium?

Accepted Answer

A)  Add foods such as nuts, dried fruit, and broccoli to the diet. 
B)  Consume dairy products but take an over-the-counter anti-gas product. 
C)  Increase the intake of dark leafy vegetables, such as spinach and chard. 
D)  Use powdered milk instead of liquid forms of milk.

Exam 8: Nutrition for Childbearing