Deck 12: Maternal Nutrition

Question 1

The pregnant client cannot tolerate milk or meat.What would the nurse recommend to the client to assist in meeting protein needs?

A)Wheat bread and pasta
B)Ice cream and peanut butter
C)Eggs and tofu
D)Beans and potatoes

Answer 1

Eggs and tofu

Question 2

A pregnant client who is of normal prepregnancy weight is now 30 weeks pregnant.She asks the nurse what appropriate weight gain would be for her.The nurse's best response is:

A)"25-35 pounds."
B)"30-40 pounds."
C)"17-18 pounds."
D)"Less than 15 pounds."

Answer 2

"25-35 pounds."

Question 3

Zinc intake should increase during pregnancy.Which of the following foods would the nurse suggest to increase intake of zinc?

A)Clams
B)Bananas
C)Pears
D)Cabbage

Answer 3

Clams

Question 4

A pregnant client who is a vegetarian asks the nurse for assistance with her diet.What instruction would the nurse give?

A)"Protein is important;therefore,the addition of one serving of meat is necessary."
B)"Complete proteins are found in vegetable products."
C)"A daily supplement of 4 mg of vitamin B12 is important."
D)"The high fiber in a vegetarian diet is dangerous for pregnant women."

Question 5

When preparing nutritional instruction,which of the following pregnant clients would the nurse consider highest-priority?

A)30-year-old G2
B)22-year-old primigravida
C)35-year-old G4
D)15-year-old nulligravida

Question 6

A teenage pregnant client is diagnosed with iron-deficiency anemia.Which nutrient should the nurse encourage to increase iron absorption?

A)Vitamin A
B)Vitamin C
C)Vitamin D
D)Vitamin E

Question 7

A client presents to the antepartum clinic with a history of a 20-pound weight loss.Her pregnancy test is positive.She is concerned about gaining the weight back,and asks the nurse if she can remain on her diet.The nurse's best response would be:

A)"As long as you supplement your diet with the prenatal vitamin,the amount of weight you gain in pregnancy is not significant."
B)"I understand that gaining weight after such an accomplishment must not look attractive,but weight gain during pregnancy is important for proper fetal growth."
C)"Dieting during pregnancy is considered child neglect."
D)"Excessive weight gain in pregnancy is due to water retention,so weight loss following birth will not be an issue."

Question 8

The breastfeeding mother is concerned about her decreased production of milk.The nurse knows further teaching is needed based on which statement?

A)"I am drinking a minimum of 8-10 glasses of liquid a day."
B)"I have started cutting back on my protein intake."
C)"At least three times a day,I am drinking a glass of milk."
D)"I try to take a nap in the morning and afternoon when the baby is sleeping."

Question 9

The postpartal client has been home for a week following a vaginal delivery with a first-degree tear.The nurse is preparing for a home visit.The nurse would need to assess for:

A)Dietary intake of fiber and fluids.
B)Dietary intake of folic acid and prenatal vitamins.
C)Return of the hemoglobin and hematocrit to baseline.
D)Return of protein and albumin to predelivery levels.

Question 10

A pregnant client confides to the nurse that she is eating laundry starch daily.The nurse should assess the client for:

A)Alopecia.
B)Weight loss.
C)Iron-deficiency anemia.
D)Fecal impaction.

Question 11

A pregnant client who follows a strict vegan diet asks the nurse to assist her with her diet.The nurse will want to assess intake of which nutrient?

A)Iron
B)Vitamin C
C)Vitamin K
D)Vitamin E

Question 12

Niacin intake should increase during pregnancy.Which of the following foods would the nurse suggest to the client to increase her intake of niacin?

A)Fish
B)Apples
C)Broccoli
D)Lettuce

Question 13

In early-pregnancy class,the nurse emphasizes the importance of 8-10 glasses of fluid per day.How many of these should be water?

A)1-2
B)2-4
C)4-6
D)8-10

Question 14

The pregnant client states she does not want "to take all these supplements." What recommendations could the nurse make for the client? Select all that apply.

A)"Folic acid has been found to be essential for minimizing the risk of neural tube defects."
B)"You do not have to take these supplements if you think you are healthy enough."
C)"Most women do not have adequate intake of iron prepregnancy,and iron needs increase with pregnancy."
D)"These medications do the same thing.I will call your physician to cancel one of your medications."

Question 15

To accurately assess a pregnant client's food intake,the nurse would:

A)Assess her most recent laboratory values.
B)Ask her to complete a nutritional questionnaire.
C)Observe for clinical signs of malnutrition.
D)Ask about her cooking facilities.