Question 1

Match each term with the correct definition.
-Calcium

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 B

Question 2

The nurse is reviewing a list of foods high in folic acid with a patient who is considering becoming pregnant. The nurse determines that the patient understands the teaching when the patient states she will include which list of foods in her diet?

Accepted Answer

A)  Peaches, yogurt, and tofu 
B)  Strawberries, milk, and tuna 
C)  Asparagus, lemonade, and chicken breast 
D)  Spinach, orange juice, and fortified bran flakes 
A)  Peaches, yogurt, and tofu 
B)  Strawberries, milk, and tuna 
C)  Asparagus, lemonade, and chicken breast 
D)  Spinach, orange juice, and fortified bran flakes D

Question 3

A nurse is conducting a prenatal nutritional education class for a group of nursing students. Which should the nurse include as the definition of pica?

Accepted Answer

A)  Iron deficiency anemia 
B)  Intolerance to milk products 
C)  Ingestion of nonfood substances 
D)  Episodes of anorexia and vomiting 
A)  Iron deficiency anemia 
B)  Intolerance to milk products 
C)  Ingestion of nonfood substances 
D)  Episodes of anorexia and vomiting C

Question 4

Match each term with the correct definition.
-Iodine

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 5

A pregnant client comes to the OB clinic and informs you that she is very concerned about the amount of weight gain associated with pregnancy. She then tells you that she wants to switch to a low-fat diet during pregnancy. BMI measurements indicate a BMI of 22.7. What would be the best nursing response to this client's stated plan?

Accepted Answer

A)  Tell the client that as long as she maintains a varied diet with regard to the other nutrients, there should be no problems. 
B)  Refer the client to a dietician for assistance in planning the low-fat diet. 
C)  Advise the client that it is important to maintain the intake of essential fatty acids during pregnancy. 
D)  Schedule the client for more frequent visits during the next few months to evaluate her weight pattern. 
A)  Tell the client that as long as she maintains a varied diet with regard to the other nutrients, there should be no problems. 
B)  Refer the client to a dietician for assistance in planning the low-fat diet. 
C)  Advise the client that it is important to maintain the intake of essential fatty acids during pregnancy. 
D)  Schedule the client for more frequent visits during the next few months to evaluate her weight pattern.

Question 6

A pregnant client would like to know a good food source of calcium other than dairy products. Which is the best answer that the nurse should give?

Accepted Answer

A)  Legumes 
B)  Lean meat 
C)  Whole grains 
D)  Yellow vegetables 
A)  Legumes 
B)  Lean meat 
C)  Whole grains 
D)  Yellow vegetables

Question 7

Which food selections would lead to enhanced iron absorption during pregnancy?

Accepted Answer

A)  Eating additional fiber and grains in the diet 
B)  Drinking coffee with meals 
C)  Drinking orange juice 
D)  Including spinach in the diet two to three times a week 
A)  Eating additional fiber and grains in the diet 
B)  Drinking coffee with meals 
C)  Drinking orange juice 
D)  Including spinach in the diet two to three times a week

Question 8

A client in her fifth month of pregnancy asks the nurse, "How many more calories should I be eating daily?" What should the nurse's response be?

Accepted Answer

A)  180 more calories a day 
B)  340 more calories a day 
C)  452 more calories a day 
D)  500 more calories a day 
A)  180 more calories a day 
B)  340 more calories a day 
C)  452 more calories a day 
D)  500 more calories a day

Question 9

The nurse is reviewing the changes in nutrition related to pregnancy with a 17-year-old who is 12 weeks pregnant. They are specifically focusing on the dairy requirements. What is the nurse's next action?

Accepted Answer

A)  Ask, "Do you like milk, yogurt and cheese?" 
B)  Ask, "How many servings from the dairy group do you eat each day?" 
C)  Tell her, "You need to add no less than 3 cups of dairy-based foods each day." 
D)  Inform her, "If you do not like to drink milk, you can eat a spinach salad every day" 
A)  Ask, "Do you like milk, yogurt and cheese?" 
B)  Ask, "How many servings from the dairy group do you eat each day?" 
C)  Tell her, "You need to add no less than 3 cups of dairy-based foods each day." 
D)  Inform her, "If you do not like to drink milk, you can eat a spinach salad every day"

Question 10

A pregnant client has lactose intolerance. What recommendation will the nurse provide to best help the client 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. 
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.

Question 11

Match each term with the correct definition.
-Magnesium

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 12

The nurse is teaching a breastfeeding client about substances to avoid while she is breastfeeding. Which substances should the nurse include in the teaching session? (Select all that apply.)

Accepted Answer

A)  Caffeine 
B)  Alcohol 
C)  Omega-6 fatty acids 
D)  Appetite suppressants 
E)  Polyunsaturated omega-3 fatty acids 
A)  Caffeine 
B)  Alcohol 
C)  Omega-6 fatty acids 
D)  Appetite suppressants 
E)  Polyunsaturated omega-3 fatty acids

Question 13

The health care provider has recommended an iron supplement for the patient who is 20 weeks pregnant. The nurse is reviewing the recommendation with the patient. What fluid is best for the nurse to recommend when taking an iron supplement?

Accepted Answer

A)  8 ounces of milk 
B)  8 ounces of water 
C)  4 ounces of orange juice 
D)  4 ounces of apple juice 
A)  8 ounces of milk 
B)  8 ounces of water 
C)  4 ounces of orange juice 
D)  4 ounces of apple juice

Question 14

Which is the common effect of both smoking and cocaine use on the pregnant client?

Accepted Answer

A)  Vasoconstriction 
B)  Increased appetite 
C)  Increased metabolism 
D)  Changes in insulin metabolism 
A)  Vasoconstriction 
B)  Increased appetite 
C)  Increased metabolism 
D)  Changes in insulin metabolism

Question 15

For the pregnant client who is a vegan, what combination of foods will the nurse advise to meet the nutritional needs for all essential amino acids?

Accepted Answer

A)  Eggs and beans 
B)  Fruits and vegetables 
C)  Grains and legumes 
D)  Vitamin and mineral supplements 
A)  Eggs and beans 
B)  Fruits and vegetables 
C)  Grains and legumes 
D)  Vitamin and mineral supplements

Question 16

Changes in the diet of the pregnant client who has phenylketonuria would include:

Accepted Answer

A)  adding foods high in vitamin C. 
B)  eliminating drinks containing aspartame. 
C)  restricting protein intake to <20 g a day. 
D)  increasing caloric intake to at least 1800 cal/day. 
A)  adding foods high in vitamin C. 
B)  eliminating drinks containing aspartame. 
C)  restricting protein intake to <20 g a day. 
D)  increasing caloric intake to at least 1800 cal/day.

Question 17

A pregnant client arrives for her first prenatal visit at the clinic. She tells you that she has been taking an additional 400 mcg of folic acid prior to her pregnancy. Based on information obtained, she is at 8 weeks' gestation. What recommendation would you give regarding folic acid supplementation?

Accepted Answer

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

Question 18

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 advice to the 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." 
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 19

What should be the goal of a client with the nursing diagnosis "Imbalanced nutrition: Less than body requirements" (related to diet choices inadequate to meet the nutrient requirements of pregnancy)?

Accepted Answer

A)  Gain a total of 30 lb. 
B)  Decrease intake of snack foods. 
C)  Take daily supplements consistently. 
D)  Increase intake of complex carbohydrates. 
A)  Gain a total of 30 lb. 
B)  Decrease intake of snack foods. 
C)  Take daily supplements consistently. 
D)  Increase intake of complex carbohydrates.

Question 20

For a program to use the assert function,it must include which of the following?

Accepted Answer

A) #include B) #include C) #include D) #include NDEBUG A) #include B) #include C) #include D) #include NDEBUG

Exam 9: Nutrition for Childbearing

Match each term with the correct definition. -Calcium

The nurse is reviewing a list of foods high in folic acid with a patient who is considering becoming pregnant. The nurse determines that the patient understands the teaching when the patient states she will include which list of foods in her diet?

A nurse is conducting a prenatal nutritional education class for a group of nursing students. Which should the nurse include as the definition of pica?

Match each term with the correct definition. -Iodine

A pregnant client would like to know a good food source of calcium other than dairy products. Which is the best answer that the nurse should give?

Which food selections would lead to enhanced iron absorption during pregnancy?

A client in her fifth month of pregnancy asks the nurse, "How many more calories should I be eating daily?" What should the nurse's response be?

The nurse is reviewing the changes in nutrition related to pregnancy with a 17-year-old who is 12 weeks pregnant. They are specifically focusing on the dairy requirements. What is the nurse's next action?

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

Match each term with the correct definition. -Magnesium

The nurse is teaching a breastfeeding client about substances to avoid while she is breastfeeding. Which substances should the nurse include in the teaching session? (Select all that apply.)

The health care provider has recommended an iron supplement for the patient who is 20 weeks pregnant. The nurse is reviewing the recommendation with the patient. What fluid is best for the nurse to recommend when taking an iron supplement?

Which is the common effect of both smoking and cocaine use on the pregnant client?

For the pregnant client who is a vegan, what combination of foods will the nurse advise to meet the nutritional needs for all essential amino acids?

Changes in the diet of the pregnant client who has phenylketonuria would include:

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 advice to the patient?

What should be the goal of a client with the nursing diagnosis "Imbalanced nutrition: Less than body requirements" (related to diet choices inadequate to meet the nutrient requirements of pregnancy)?

For a program to use the assert function,it must include which of the following?

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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