Deck 12: Maternal Nutrition

Question 1

The nurse is preparing an antenatal nutrition class for pregnant women. Which material should be included in the teaching?

A)Dietary protein can only be obtained through consuming dairy, meat, and eggs.
B)During pregnancy, consumption of oily fish should be avoided.
C)Iron absorption is generally higher for vegetable products than for animal products.
D)Nutritional iodine requirements generally can be met through intake of iodized salt.

Answer 1

Nutritional iodine requirements generally can be met through intake of iodized salt.

Question 2

Which patient statement on cultural or religious influences on nutrition requires intervention?

A)"My grandmother makes sure I eat a serving of greens each day."
B)"I avoid milk and meat at meals because I am Jewish."
C)"My auntie sent me clay from the south to eat every day."
D)"Because I am Muslim, I do not ever eat any pork products."

Answer 2

"My auntie sent me clay from the south to eat every day."

Question 3

The nurse is conducting a postpartum home visit. The patient has been home for a week and is formula feeding her infant. Which statement by the patient indicates that she understands the teaching?

A)"I have increased my caloric intake by 600 calories per day."
B)"My dietician has set my weight loss goal at 1 to 2 pounds per week."
C)"Instead of making another doctor's appointment, I started a diet that my best friend recommended."
D)"My daily regimen includes taking extra vitamin A, vitamin C, and thiamine in order to meet my body's increased need for nutrients after pregnancy."

Answer 3

"My dietician has set my weight loss goal at 1 to 2 pounds per week."

Question 4

The nurse evaluates the diet of a pregnant patient and finds that it is low in zinc. The nurse knows that zinc intake should increase during pregnancy to promote protein metabolism. Which of the following foods should the nurse suggest in order to increase intake of zinc?

A)Shellfish
B)Bananas
C)Yogurt
D)Cabbage

Question 5

A pregnant patient who is a lacto-ovo vegetarian asks the nurse to help her plan a diet that includes adequate protein intake. What instruction should the nurse give?

A)"Because you don't eat meat, eggs, or dairy products, it's important to eat adequate plant-based proteins."
B)"To improve protein absorption, avoid simultaneous intake of animal protein and plant protein."
C)"Following a lacto-ovo vegetarian diet will require you to take a daily supplement of vitamin B12."
D)"In addition to eggs and dairy products, beans, peanut butter, and soy milk can be effective sources of plant-based proteins."

Question 6

The nurse is leading a session on nutrition for newly delivered women. Which statement indicates that teaching has been effective?

A)"Because I am breastfeeding, I need a low calcium intake."
B)"Breastfeeding requires that I eat lots of protein daily.
C)"Since I am bottle-feeding, I don't have to eat vegetables."
D)"Bottle-feeding moms like me require a high sodium intake."

Question 7

Which statement is best to include when teaching a pregnant adolescent about nutritional needs of pregnancy?

A)"It is important eat iron-rich foods like meat every day."
B)"Calcium and milk aren't needed until the third trimester."
C)"Folic acid intake is the key to having a healthy baby."
D)"You just need to pay attention to what you eat now."

Question 8

The nurse is working with a pregnant 14-year-old. The patient confides that she's concerned she may be struggling with bulimia nervosa. Which nursing observation best supports the patient's statement?

A)The patient is of normal weight for her height and reports binge eating followed by purging.
B)Despite being extremely underweight, the patient describes herself as being fat.
C)The patient reports dietary cravings for soil and clay.
D)In terms of food variety and quantity, the patient's diet is extremely restrictive.

Question 9

The nurse is preparing a prenatal class about infant feeding methods. The maternal nutritional requirements for breastfeeding and formula-feeding will be discussed. What statement should the nurse include?

A)"Breastfeeding requires a continued high intake of protein and calcium."
B)"Formula-feeding mothers should protect their health with a lot of calcium."
C)"Producing breast milk requires calories, but any source of food is fine."
D)"Formula-feeding mothers need a high protein intake to avoid fatigue."

Question 10

The breastfeeding mother is concerned that her milk production has decreased. The nurse knows that further patient 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 11

The nurse is working with a pregnant teen. In order to accurately assess the teen's nutritional intake, the nurse should:

A)Assess laboratory values.
B)Ask her to complete a 24-hour dietary recall.
C)Observe for clinical signs of malnutrition.
D)Ask about her cooking facilities.

Question 12

The nurse is presenting a preconception counseling class. The nurse instructs the participants that niacin intake should increase during pregnancy to promote metabolic coenzyme activity. The nurse would know that teaching has been effective if a patient suggests which of the following foods as a source of niacin?

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

Question 13

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

A)40-year-old gravida 2
B)22-year-old primigravida
C)35-year-old gravida 4
D)15-year-old nulligravida

Question 14

The nurse is planning an educational session for pregnant vegans. What information should the nurse include?

A)Eating beans and rice provides complete protein needs.
B)Soy is not a good source of protein for vegans.
C)Rice contains a high level of vitamin B_12.
D)Vegan diets are high in iron.

Question 15

The nurse is providing nutritional counseling for a postpartum patient with a hemoglobin of 8.0. Which statement indicates that additional teaching is necessary?

A)"My iron is low, but it will increase as I take iron supplements."
B)"I need to increase food sources that contain iron."
C)"If I drink lots of milk, I will increase my iron level faster."
D)"I might feel less energetic and tire more easily while my iron is low."