Nutrition Chapter 11
The nurse reviews the caloric intake requirement for a client with a prepregnancy body mass index (BMI) 21 of in the 20th week of gestation. Which client statement indicates that teaching has been effective?
"I should add 400 calories per day to my diet."
A woman who is 32 weeks pregnant was diagnosed with gestational diabetes one week ago. The nurse knows that teaching has been effective when the woman states which of the following?
"I should exercise if there are no medical or obstetrical complications."
A mother who just delivered her baby is positive for HIV. The mother asks the nurse if she can breastfeed her infant. Which of the following is the best response by the nurse?
"No, you should not breastfeed because you are positive for HIV."
The nurse is seeing a client whether she should stop drinking alcohol because she is trying to get pregnant. Which of the following responses by the nurse is CORRECT?
"You should completely avoid alcohol before and during pregnancy."
The nurse reviews dietary choices made by a client in the 16th week of gestation. Which selection indicates that the client is adhering to the MyPlate dietary recommendations for pregnancy?
1 cup of skim milk for breakfast, lunch and dinner
Herbal supplements are technically unapproved drugs and should not be consumed during pregnancy and lactation. This statement is:
TRUE
Which of the following are CORRECT statements made by a pregnant woman with phenylketonuria (PKU)? Select all that apply.
1. "Phenylalanine must be provided in the diet." 2. "Synthetic amino acids must be consumed via medical foods during pregnancy." 3. "Eggs, dairy products, and nuts must be eliminated during pregnancy."
Nonnutritive sweeteners, consumed at levels within the U.S. Food and Drug Administration guidelines, are believed to be safe for all pregnant women unless the woman has phenylketonuria. This statement is:
True
Weight gain during pregnancy has been shown to independently predict long-term weight gain and obesity. This statement is:
True
A woman who smokes is ____ as likely to deliver a low-birth-weight baby.
Twice
The nurse is teaching a breastfeeding class. Which of the following recommendations are CORRECT? Select all that apply.
1. Alcohol easily crosses the placental barrier 2. If alcohol is consumed, the mother should wait 4 hours
A pregnant woman in her first trimester is experiencing heartburn, a common complaint during pregnancy. What recommendations can the nurse give to decrease heartburn during pregnancy? Select all that apply.
1. Eat small, frequent meals 2. avoid bending over after eating 3. Avoid coffee and high fat foods
The nurse should provide a list including which of the following types of fish that should not be eaten by women who are pregnant or breastfeeding? Select all that apply.
1. tilefish 2. shark 3. king mackerel
Gestational hypertension is defined as a systolic blood pressure greater than or equal to _____ mmHg or a diastolic reading greater than or equal to 90 mmHg with onset after 20 weeks of gestation and without proteinuria. Enter the correct number ONLY.
140
All women with a body mass index (BMI) of ______ or lower should be counseled about the risks of unhealthy weight to maternal health and future pregnancies. Enter number to the nearest 1/10th. Enter the correct number ONLY.
18.5
The World Health Organization (WHO) recommends that breastfeeding should continue up to the age of at least _________ years. Enter the correct number ONLY.
2
Most pregnant women need a total of ________ to 2900 cal/day. Enter the correct number ONLY.
2200
The nurse is seeing a pregnant client who has a BMI of 27. This nurse should encourage this client to limit weight gain to ______ pounds in her pregnancy. Enter the correct number ONLY.
25
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?
28-40
Women with a BMI of ≥ _________ are considered obese. Enter the correct number ONLY
30
Women ________ years or older are associated with high-risk pregnancy. Enter the correct number ONLY.
35
The recommended dosage of folate for nonpregnant women is _____ ug.
400
Approximately what percent of women with gestational hypertension diagnosed before 30 weeks of gestation develop preeclampsia? Enter the correct number ONLY.
50
The World Health Organization (WHO) recommends that infants be exclusively breastfed for the first ______ months of life. Enter the correct number ONLY.
6
The recommended dosage of folate for pregnant women is _____ ug. Enter the correct number ONLY.
600
The nurse evaluates the weight gain of a client in the 26th week of gestation who had a prepregnancy body mass index (BMI) of 27.5. Which weight gain thus far in the pregnancy indicates that teaching has been effective?
9.0lbs
According to Dietary Reference Intakes (DRIs), pregnant women need to begin adding at least 250 calories during the first trimester. This statement is:
False
Women with a BMI of 22 should be evaluated for eating disorders and distorted body image. This statement is:
False
Food-borne risks are more dangerous during pregnancy. Which of the following statements about listeriosis and pregnancy is CORRECT?
Listeriosis during pregnancy can lead to miscarriage, stillbirth, premature delivery, or neonatal
A postpartum client who is breastfeeding desires to return to the prepregnancy weight as quickly as possible. What dietary intake should the nurse recommend to this client?
Restrict daily caloric intake to 1400 calories per day
A client in the 8th week of gestation is experiencing nausea and vomiting every morning and throughout the day. What should the nurse suggest to help with this client's nutritional status?
Snack on dry crackers and hard candy throughout the day
The nurse is seeing a client who has been diagnosed with gestational diabetes. The nurse should share which of the following information with this client?
The risk of birth trauma is increased
A breastfeeding mother who lives in Florida and runs two miles every morning asks how much fluid is needed while she is breastfeeding. Which of the following is the nurse's best response?
drink a glass of fluid every time the baby nurses and a glass of fluid with each meal.
The nurse is seeing a [pregnant client who reports having constipation. The nurse should recommend which of the following interventions?
drinking at least eight 8-oz glasses of liquid daily
A healthy 22-year-old pregnant woman who is having a low-risk pregnancy is currently in her first trimester should be encouraged to do which of the following?
engage in safe exercise, paying attention to fall risk.
The nurse is seeing a preganant client who states she drinks approx. 24 ounces of coffee per day. The nurse should explain to the client that a high intake of caffeine during pregnancy is associated with which of the following?
low-birth-weight newborns.
An expectant mother, pregnant with her third baby, is due in 6 weeks. She does not like milk or ready-to-eat cereals. She often leaves for her office job before the sun comes up and does not get home until after dark. The nurse knows that this pregnant woman needs vitamin D supplements for which of the following reasons?
reduce the risk of abnormal neonatal bone metabolism.