Deck 14: Pregnancy and Lactation

Question 1

The nurse is counseling a client with a body mass index (BMI) of 22 who is concerned about additional weight gain during pregnancy. Which approach should the nurse take?

A) "At your current weight you should expect to see a weight gain less than 20 lbs. during your pregnancy."
B) "At your current weight you should expect to see a weight gain 15-25 lbs. during your pregnancy."
C) "At your current weight you should expect to see a weight gain 28-40 lbs. during your pregnancy."
D) "At your current weight you should expect to see a weight gain 25-35 lbs. during your pregnancy."

Answer 1

"At your current weight you should expect to see a weight gain 25-35 lbs. during your pregnancy."

Question 2

The nurse is counseling a woman about the consumption of herbal supplements during pregnancy. Which statement is appropriate for the nurse to make?

A) It is safe to ingest herbal supplements during pregnancy since they are natural substances
B) The Food and Drug Administration (FDA) has established guidelines about the safety of herbal use during pregnancy
C) It is important that you quit taking any botanical, vitamin, or mineral supplements during your pregnancy, but you can resume taking them after the baby is born
D) Dietary supplements during pregnancy have not been well researched so it is important to discuss ingestion of specific supplements with your healthcare provider

Answer 2

Dietary supplements during pregnancy have not been well researched so it is important to discuss ingestion of specific supplements with your healthcare provider

Question 3

The nurse is assessing a client during the first prenatal visit. For which reason should the nurse conduct an additional assessment with this client?

A) BMI of 21
B) Maternal age 31 years
C) History of diabetes for 10 years
D) Drinking 1 small cup of coffee/day

Answer 3

History of diabetes for 10 years

Question 4

A client who is pregnant with twins is concerned about the amount of weight to gain during the pregnancy. Which response should the nurse make to this client? (Select all that apply.)

A) "You should plan on gaining a.5 pounds each week."
B) "You can expect to gain between 35 and 45 pounds during this pregnancy."
C) "You need to eat about 300 extra calories each day when compared to what you ate prior to becoming pregnant."
D) "Let's talk about some nutrient-dense foods that will help your babies develop well."
E) "It is important to avoid eating seafood with high levels of mercury."

Question 5

A pregnant client follows a vegan eating plan. Which vitamin supplement should the nurse emphasize as essential for this client during the pregnancy?

A) B1
B) B2
C) B6
D) B12

Question 6

The nurse compares the nutrient requirements of an adolescent with those of a pregnant client. Which nutrient should the nurse identify as having different requirements for these populations?

A) Iron
B) Calcium
C) Folic acid
D) Vitamin C

Question 7

The nurse prepares to assess a group of clients arriving for prenatal care. Which client should the nurse identify as having the greatest need for nutrition counseling during the first prenatal visit?

A) A client with phenylketonuria
B) A client entering a third pregnancy
C) A 42-year-old client with a BMI of 22
D) The vegan client who has had preconception counseling

Question 8

A pregnant client reports the desire to eat non-food items. For which health problem should the nurse prepare teaching for this client?

A) Pica
B) Geophagia
C) Pagophagia
D) Amylophagia

Question 9

The nurse prepares nutritional material for a pregnant client with preeclampsia. What should the nurse include when teaching this client?

A) "Restrict sodium intake."
B) "Increase the intake of fluids."
C) "Avoid consuming simple sugars."
D) "Increase the amount of calcium in your diet."

Question 10

The nurse notes that a pregnant client arriving for an initial prenatal visit has a BMI of 35. For which complication is this client at risk for developing during the pregnancy?

A) Macrosomia
B) Placenta previa
C) Gestational diabetes
D) Chromosomal defects

Question 11

A client in the first trimester of pregnancy is experiencing persistent nausea throughout the day. What should the nurse recommend to this client?

A) Consume noncarbonated beverages
B) Increase foods with a high fat content
C) Eat large meals frequently throughout the day
D) Eat dry toast and crackers before getting out of bed

Question 12

A pregnant client is planning to breastfeed after delivery. How many additional calories per day should the nurse instruct the client to consume during the first 6 months of breastfeeding?

A) 430 kcal
B) 500 kcal
C) 630 kcal
D) 730 kcal

Question 13

The nurse provides nutritional teaching to a client who is breastfeeding. Which client statement indicates that additional instruction is required?

A) "I need to increase my intake of iron."
B) "I should drink at least 8-10 glasses of fluid/day."
C) "I need to make sure I have enough calcium in my diet."
D) "I need make sure I have and adequate intake of vitamin B12."