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Which meal provides the most absorbable iron?
a.Toasted cheese sandwich, celery sticks, tomato slices, and a grape drink
b.Oatmeal, whole wheat toast, jelly, and low-fat milk
c.Black bean soup, wheat crackers, ambrosia (orange sections, coconut, and pecans), and prunes
d.Red beans and rice, cornbread, mixed greens, and decaffeinated tea
Black bean soup, wheat crackers, ambrosia (orange sections, coconut, and pecans), and prunes
Which nutrient’s recommended dietary allowance (RDA) is higher during lactation than during pregnancy?
A pregnant woman’s diet consists almost entirely of whole grain breads and cereals, fruits, and vegetables. The nurse is most concerned about this woman’s intake of:
Which statement made by a lactating woman leads the nurse to believe that the woman might have lactose intolerance?
a.“I always have heartburn after I drink milk.”
b.“If I drink more than a cup of milk, I usually have abdominal cramps and bloating.”
c.“Drinking milk usually makes me break out in hives.”
d.“Sometimes I notice that I have bad breath after I drink a cup of milk.”
“If I drink more than a cup of milk, I usually have abdominal cramps and bloating.”
A pregnant woman’s diet history indicates that she likes the following. The nurse encourages this woman to consume more of which food in order to increase her calcium intake?
c.Spaghetti with meat sauce
A 27-year-old pregnant woman had a preconceptual body mass index (BMI) of 19. The nurse knows that this woman’s total recommended weight gain during pregnancy should be at least:
a.20 kg (44 lb)
b.16 kg (35 lb)
c.12.5 kg (27.5 lb)
d.10 kg (22 lb)
12.5 kg (27.5 lb)
A woman has come to the clinic for preconception counseling because she wants to start trying to get pregnant in 3 months. She can expect the following advice
a.“Discontinue all contraception now.”
b.“Lose weight so that you can gain more during pregnancy.”
c.“You may take any medications you have been taking regularly.”
d.“Make sure you include adequate folic acid in your diet.”
“Make sure you include adequate folic acid in your diet.”
To prevent gastrointestinal (GI) upset, clients should be instructed to take iron supplements:
a.On a full stomach
c.After eating a meal
After you complete your nutritional counseling for a pregnant woman, you ask her to repeat your instructions so that you can assess her understanding of the instructions given. Which statement indicates that she understands the role of protein in her pregnancy?
a.“Protein will help my baby grow.”
b.“Eating protein will prevent me from becoming anemic.”
c.“Eating protein will make my baby have strong teeth after he is born.”
d.“Eating protein will prevent me from being diabetic.”
"Protein will help my baby grow.”
Pregnant adolescents are at high risk for _______________ due to lower body mass indexes (BMIs) and “fad” dieting.
Maternal nutritional status is an especially significant factor of the many that influence the outcome of pregnancy because:
a.It is very difficult to adjust because of people’s ingrained eating habits
b.It is an important preventive measure for a variety of problems
c.Women love obsessing about their weight and diets
d.A woman’s preconception weight becomes irrelevant
It is an important preventive measure for a variety of problems
With regard to weight gain during pregnancy, maternity nurses should know that:
a.In this case, the woman’s height is not a factor in determining her target weight
b.Obese women may have their health concerns, but their risk of giving birth to a child with major congenital defects is the same as with normal-weight women
c.Women with inadequate weight gain have an increased risk of delivering an infant with intrauterine growth restriction (IUGR)
d.Greater than expected weight gain during pregnancy is almost always due to old-fashioned overeating
Women with inadequate weight gain have an increased risk of delivering an infant with intrauterine growth restriction (IUGR)
Which nutritional recommendation about fluids is accurate?
a.A woman’s daily intake should be six to eight glasses of water, milk, and/or juice.
b.Coffee should be limited to no more than 2 cups, but tea and cocoa can be consumed without worry.
c.Of the artificial sweeteners, only aspartame has not been associated with any maternity health concerns.
d.Water with fluoride is especially encouraged because it reduces the child’s risk of tooth decay.
A woman’s daily intake should be six to eight glasses of water, milk, and/or juice.
Which minerals and vitamins usually are recommended to supplement a pregnant woman’s diet?
a.Fat-soluble vitamins A and D
b.Water-soluble vitamins C and B6
c.Iron and folate
d.Calcium and zinc
Iron and folate
Which vitamins or minerals can lead to congenital malformations of the fetus if taken in excess by the mother?
While taking a diet history the nurse might be told that the expectant mother has cravings for ice chips, cornstarch, and baking soda. This represents a nutritional problem known as:
Assessment of a woman’s nutritional status includes a diet history, medication regimen, physical examination, and relevant laboratory tests. A maternity nurse performing such an assessment should be aware that:
a.Oral contraceptive use may interfere with the absorption of iron
b.Illnesses that have created nutritional deficits, such as phenylketonuria (PKU), may require nutritional care before conception
c.The woman’s socioeconomic status and educational level are not relevant to her examination; they are the province of the social worker
d.The only nutrition-related laboratory test most pregnant women need is testing for diabetes
Illnesses that have created nutritional deficits, such as phenylketonuria (PKU), may require nutritional care before conception
To help a woman reduce the severity of nausea caused by morning sickness, the nurse might suggest that she:
a.Try a tart food or drink, such as lemonade, or salty foods, such as potato chips
b.Drink plenty of fluids early in the day
c.Brush her teeth immediately after eating
d.Never snack before bedtime
Try a tart food or drink, such as lemonade, or salty foods, such as potato chips
Three servings of milk, yogurt, or cheese plus two servings of meat, poultry, or fish will adequately supply the recommended amount of protein for the pregnant woman. Many clients are concerned about the increased levels of mercury in fish and may be afraid to include this source of nutrients in their diet. Sound advice by the nurse to assist the client in determining which fish is safe to consume includes:
a.Canned white tuna is a preferred choice
b.Avoid shark, swordfish, and mackerel
c.Fish caught in local waterways is the safest
d.Salmon and shrimp contain high levels of mercury
Avoid shark, swordfish, and mackerel
Nutrition is one of the most significant factors in influencing the outcome of a pregnancy. Nutrition is alterable and an important preventive measure for a variety of potential problems such as low birth weight and prematurity. While completing the physical assessment of the pregnant client, the nurse can evaluate the client’s nutritional status by observing a number of physical signs. Which sign indicates that the client has unmet nutritional needs?
a.Normal heart rate, rhythm, and blood pressure
b.Bright, clear, shiny eyes
c.Alert, responsive, and good endurance
d.Edema, tender calves, and tingling
Edema, tender calves, and tingling
Most women with uncomplicated pregnancies can use the nurse as their primary source for nutritional information. There are times when the nurse or midwife should refer a client to a registered dietitian for in-depth nutritional counseling. These pregnant women include those with:
a.Preexisting or gestational illness such as diabetes
b.Ethnic or cultural food patterns
- Preexisting or gestational illness such as diabetes
- Ethnic or cultural food patterns
- Vegetarian diets
Obstetricians today are seeing more morbidly obese pregnant women (those that weigh 400 lb or greater). A new medical subspecialty referred to as ____________ obstetrics has subsequently arisen.
Dietary Reference Intakes (DRIs) have been established for the people of the United States and Canada. These recommendations for daily nutritional intakes meet the needs of approximately 75% to 80% of the healthy population. Is this statement true or false?