Chapter 11 Nutrition Study set

The client is now at 20 weeks of gestation. At conception, her weight was considered "normal." Approximately how much weight should she have gained by this time?

12 lbs

A client has asked the nurse what is the recommended dosage for iron during pregnancy? Which of the following is the correct response?

27 mg/day

The client is a 32-year-old female whose prepregnancy body mass index (BMI) is 18. She is pregnant with a single fetus. Which amount of weight gain should the nurse recommend as healthy?

28-40 lbs

The nurse is discussing weight gain with a group of pregnant women in a prenatal clinic. One of the women in the group has been measured with a body mass index (BMI) of 17.5. The nurse knows this client should gain how much weight during her pregnancy?

28-40lbs

The nurse is preparing an educational session on the long-term benefits of breastfeeding. Which of the following teaching points should the nurse include?

Breastfeeding is associated with reducing the risk of postpartum depression

The nurse is providing nutritional education to a group of pregnant women in the second trimester. For one of the learning activities, the clients are asked to develop a lunch menu based on principles of healthy eating in pregnancy. Which of the following menus indicates the nutritional teaching has been effective?

6 oz chicken breast, w tomato, one small apple, low fat cheese and whole wheat bread

Which of the following statements by a client who is obese in prepregnancy indicates to the nurse the client understands the nurse's teaching?

At the high end of range I could gain 20 lbs

A client asks the nurse in the prenatal clinic when she should plan to be tested for possible diabetes during her pregnancy. Which of the following is a correct response?

Between 24-28 weeks of gestration

A client who has been identified as having excessive gestational weight gain (GWG) in her pregnancy has come to the prenatal clinic for a visit with a nurse. When providing education to the client about risks associated with GWG, which of the following should the nurse include?

Cesarean section

A nurse is recommending foods to avoid for a client who is pregnant. The nurse discusses caution when eating foods such as shark and swordfish for which of the following reasons?

Consumption can lead to neurologic abnormalities in the fetus.

The nurse is seeing a client in the prenatal clinic who reports feeling as though food is coming back up from her stomach. She reports belching often after a meal. Which of the following interventions should the nurse recommend?

Eat small, frequent meals.

The nurse is evaluating the client's nutritional status at her prenatal visit. The client is asking if she should take a nutrient supplement. The nurse should base the response to the client's question on which of the following needs?

Individual circumstances

A nurse is seeing a client who is 23 weeks pregnant. The client asks, "Is it really that necessary to take a prenatal vitamin?" Which of the following is the nurse's best response?

Yes because the RDA for pregnancy increases with pregnancy

The nurse will need to discuss supplementation of vitamin B12 with a woman who has which of the following factors influencing her pregnancy?

a strict vegan

A nurse is seeing a client who has just found out she is 10 weeks pregnant. When discussing what to avoid, which of the following should the nurse emphasize most?

alcolhol

In order to ensure nutritional requirements for folic acid are met during pregnancy, clients need to do which of the following?

consume fortified foods

The nurse is preparing the client to make the necessary dietary changes from pregnancy to lactation. Which of the following is most important for the nurse to include in client teaching?

even if a mother has adequate fat stores, calorie intake should be increased

A client voices concerns about preventing neural tube defects during her pregnancy. The nurse knows the client should be taking which of the following supplements to prevent these problems?

folic acid

A client tells the clinic nurse that she is having cravings for nonfood items such as laundry starch, clay, and ice. The nurse anticipates this client is most likely at risk for which of the following?

iron deficiencey

A client in the prenatal clinic tells the nurse she is having trouble keeping her breakfast down and has waves of nausea throughout the day. Which of the following is the most appropriate nutritional intervention the nurse can suggest to the client?

limiting fat intake

The nurse is providing nutrition information to a prenatal class. The nurse is correct in stating that compared with the Recommended Dietary Allowances of pregnancy, the RDA for lactation is which of the following?

lower for iron

The nurse is meeting with several pregnant clients to discuss breastfeeding. Which of the following statements about the benefits of breastfeeding for mothers and infants should the nurse include in the discussion? Select all that apply.

reastfeeding may decrease the risk of food allergies in the infant Breastfeeding may be protective against breast cancer in the mother. Breastfeeding can mobilize fat stores to help women lose weight, particularly in the lower body

The nurse is discussing nutritional needs with a client who is considering pregnancy. The nurse correctly tells the client caloric needs typically start to increase at which point in the pregnancy?

second trimester

The nurse is conducting nutrition counseling with a 21-year-old pregnant woman in a prenatal clinic. What should the nurse explain to the client about caloric intake during the second and third trimesters of her pregnancy?

she will approximatly need 450 calories/day increase during 3rd trimester

One of the pregnant clients in a nutrition class voices concern about being constipated despite having very regular bowel movements in prepregnancy. Which of the following is the nurse's best response?

try to drink lemon juice and water when waking