Maternal Child Chapter 4

A client who is pregnant for the first time attends the prenatal clinic. She tells the nurse, "I'm worried about gaining too much weight because I have heard that it bad for me." How should the nurse respond?

A 25 pound weight gain is recommended, but the pattern of weight gain is more important than the total amount

What should a nurse include in nutritional planning for a newly pregnant woman of average height weighing 145 pounds?

An increase of 300 calories per day

A primigravida in her 10th week of gestation is concerned because she has read that nutrition during pregnancy is important for the growth and the development of the fetus. She wants to know something about the foods she should eat . What should be the nurse's initial response?

Ask her what she has eat over the last 3 days

A primigravia tells the nurse that she has morning sickness. What suggestion should the nurse make to help relieve nausea?

Avoid long periods without food

During a client's first visit to the prenatal clinic, a nurse discusses a pregnancy diet. The clients states that her mother told her she should restrict salt in your diet. What is the nurse's best response?

Because you need salt to maintain water balance, it is not restricted. Just eat a well-balanced diet.

A pregnant women tells a nurse in the prenatal clinic that she knows folic acid is very important during pregnancy and she is taking a prescribed supplement. She asks the nurse what foods contain folic acid (folate) so she can add them to her diet in its natural form. Which foods should the nurse recommend?

Black and pinto beans Enriched bread and pasta

Why is it important for a nurse in the prenatal client to provide nutritional counseling to all newly pregnant women?

Different cultural groups favor different essential nutrients

What should a nurse suggest to a pregnant client that might help overcome first-trimester morning sickness?

Eat protein before bedtime

During a prenatal interview at 20 weeks' gestation, the nurse determines that the client has a history of pica. What is the most appropriate nursing action?

Ensure that the client's diet is nutritionally adequate

A pregnant client complains of constipation. Which strategies should the nurse recommend?

Exercise regularly Add a few tablespoons of wheat bran to cereal at breakfast Plan to have a bowel movement at the same time every day

A client is concern about gaining weight during pregnancy. What should the nurse explain is the cause of the largest amount of weight during pregnancy?

Fetal growth

A nurse caring for a pregnant woman determines that she is engaging in the practice of pica. Why should the nurse prepare a teaching plan for this client?

Inedible items are being ingested

A nurse teaches a pregnant woman about the need to increase her intake of complete proteins. Which foods identified by the client indicate that the teaching is effective?

Milk Eggs Cheese

A pregnant adolescent at 10 weeks' gestation visits the prenatal clinic for the first time. The nutrition interview indicates that her dietary intake consists mainly of soft drinks, candy, french fries, and potato chips. Why does the nurse consider this diet in adequate?

Nutritional composition of the diet places her at risk for a low-birthweight infant

A nurse is providing dietary counseling to a client who is at 14 weeks' gestation. The client is a recent immigrant from Asia, and the nurse explores the foods the client usually eats. Which foods does the nurse counsel her to avoid during pregnancy?

Raw shellfish Herbal supplements Soft-scrambled eggs

When discussing dietary needs during pregnancy, a client tells the nurse, "I do not like to drink milk because it makes me constipated." What should the nurse recommend?

Treat constipation in some way other than omitting milk

A pregnant client with iron deficiency anemia is prescribed iron supplements daily. To increase iron absorption, the nurse should suggest that the client eat foods high in what?

Vitamin C

During her first visit to the prenatal clinic, it is determined that a client is obese. During the ensuring 5 months, the client has not been successful in adhering to her nutrition plan. Which finding indicates to the nurse that she has been successful during the sixth month?

Weight gain of 2 pounds