Nutrition Exam 3 Coursepoint questions
Women who are pregnant with twins should gain two times the amount of weight recommended for single-birth women. This statement is:
false
The nurse recognizes that females in comparison with boys will have which of the following physical differences?
have more fat tissue
Nutritional requirements for which of the following increase from 18 mg for nonpregnant women to 27 mg during pregnancy?
iron
Which of the following is a nutrient that is deficient in some older American infants?
iron
A 26-year-old Caucasian woman at 28 weeks gestation with her first pregnancy comes to the clinic. This is her first pregnancy, and she is carrying twins. For four years before pregnancy, her blood pressure ranged from 132/ 84 to 138/88. Her prepregnancy BMI was 24, and she has gained 15 pounds. Which of the following risk factors are present for eclampsia? Select all that apply.
primiparity multiple pregnancy
Which of the following nutrients in breast milk are adequate for growth but low enough not to overwhelm immature kidneys? Select all that apply.
protein minerals
2015-2020 Dietary Guidelines for Americans aims to have people focus on the quality of food intake as a whole rather than in individual food groups. True or false?
true
The Estimated Energy Requirements (EERs) provide guidance for clients who want to maintain a healthy weight. This statement is:
true
A woman who smokes is ____ as likely to deliver a low-birth-weight baby.
twice
One strategy for including empty calories into a healthy diet is to eat them:
at 8% to 19% of total calories
The nurse is discussing breastfeeding with a new mom. The nurse is correct in telling the new mom that the American Academy of Pediatrics recommends which of the following?
breastfeeding for at least the first 12 months
A client reports eating nutrient dense foods the majority of the time. Which food item should the nurse recommend that the client increase the intake?
brown rice
The nurse is seeing a client in her first trimester of pregnancy. The client asks at what rate and how much weight she should gain. The nurse should inform the client that the amount of weight she needs to gain is based on which pre-pregnancy factor?
BMI
According to the Dietary Guidelines for Americans, Americans who eat a healthful diet do which of the following?
Balance calorie intake with calorie needs. Drink low-fat or fat-free milk instead of whole milk. Eat a variety of nutrient-dense foods within and across food groups.
A client asks for dietary suggestions to reduce the risk of developing cancer. What should the nurse recommend to this client?
Eat a variety of fruits and vegetables
Which of the following about general growth during adolescence is CORRECT?
Peak growth of females occurs before that of males
The nurse is seeing a client who is not taking birth control and is considering pregnancy. Which of the following recommendations should the nurse make for this client?
consume 400 micrograms (ug) per day of folic acid
The nurse knows which of the following is true about preterm infant formula?
contains more calories and some nutrients than term formulas.
Post-puberty adolescents have a growth rate similar to that of which age group?
early infancy
The Healthy People guidelines, published every 10 years, serves as the federal policy on nutrition, dictated how education, communication, and food assistance programs are conducted by the government. This statement is:
false
MyPlate shows that about one half of a plate of food should consist of which of the following foods?
grains and proteins
Which of the ten leading causes of death in the United States are associated with dietary excesses? Select all that apply.
heart disease cancer stroke
The nurse is seeing a pregnant 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.
The Healthy Eating index-2010 found that one of the reasons overall diet quality for all childhood age and ethnic groups is excessive intake of which of the following?
sodium
The nurse recognizes a parent requires nutritional education if her children consumes which of the following in excessive amounts?
sodium
Herbal supplements are technically unapproved drugs and should not be consumed during pregnancy and lactation. This statement is
true
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
The AIs are similar to the RDA, but with the AI, it is not known what percentage of people are meeting nutritional needs. This statement is:"
true
Unless a person has participated in a nutrient requirement study, it is impossible to quantify exact nutrient requirements for an individual. This statement is
true
A client asks how to avoid consuming empty calories. Which of the following is the nurse's best response?
"Limit foods that have sugar listed in the first few ingredients."
An infant's parents are vegans and would like to raise their children on vegan diets. Which infant formula should the nurse recommend?
soy
A client asks the nurse to explain the Dietary Guidelines for Americans. What statement would the nurse correctly include in the summary?
"Make high quality choices, within the right calorie limit."
A client asks the nurse for an explanation of MyPlate. What statement would the nurse include in the response?
"MyPlate is a graphical depiction of a place setting with one-quarter of the plate devoted to grains."
The recommended dosage of folate for nonpregnant women is _____ μg.
400
The nurse is seeing a client who has lost 5 lbs in the second trimester of her pregnancy. Which statement by the pregnant woman indicates that she may be experiencing pica?
"I want to eat only ice."
A client asks the nurse how to develop a healthy eating plan. Which of the following is the nurse's BEST response?
" Select an eating pattern that meets nutrient needs over time."
The nurse is seeing a parent with his 11 year old son for a well child visit. The parent tells the nurse he is concerned his son has not grown as tall as he expected by his age. Which of the following is a CORRECT response?
"A growth spurt should begin in about one year."
The nurse is seeing a client who wants to know whether consuming empty calories will lead to a weight gain. Which of the following responses by the nurse would be CORRECT?
"An allowance for empty calories allows an individual to consume small amounts of empty calories in the daily eating plan without gaining weight."
A client asks about exercise and amounts of fats, sugars, and sodium for a 2,000-calorie daily food plan. The nurse's BEST response is:
"Be physically active for at least 30 minutes most days of the week."
A father is concerned because his baby spits up a small amount of formula after many feedings. Which of the following should the nurse recommend?
"Burp the infant more often."
The nurse is discussing Dietary Guidelines for Americans with an adult client. The nurse recognizes that the client needs additional teaching when the client makes what statement?
"I will limit my sodium intake to no more than 3500 mg per day."
A client reports adopting the Healthy US style eating plan recommended by the Dietary Guidelines for Americans. What response should the nurse make to this client?
"Consider adding more foods fortified with vitamin D."
The nurse is sharing information with a group of clients about healthy eating guidelines that are based on evidence. What is an example the nurse will provide as a characteristic of a healthy eating pattern?
"Include a variety of colors of fruits and vegetables."
A client wants to maintain their current weight with a healthy eating pattern. The nurse uses the Dietary Guidelines for Americans to make which recommendation?
"Eat a variety of vegetables, including dark green, red, and orange vegetables"
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."
Which of the following are CORRECT statements made by a pregnant woman with phenylketonuria (PKU)? Select all that apply.
"Phenylalanine must be provided in the diet." "Synthetic amino acids must be consumed via medical foods during pregnancy." "Eggs, dairy products, and nuts must be eliminated during pregnancy."
A nurse is providing nutrition education for a group of caregivers. Which of the following should the nurse recommend for formula feeding?
"Stop feeding when babies turn away from bottles, as this is a sign that they are finished."
A client from England asks the nurse about Great Britain's food guide. Which of the following is the CORRECT response by the nurse?
"The 'Eatwell Plate' shows how much of what you eat should come from each food group."
A client asks the nurse to explain about the Daily Checklist calorie level. Which of the following responses by the nurse would be CORRECT?
"The specific Daily Checklist recommended for an individual is an estimate of how many calories a person of similar age and average height and weight needs to maintain an appropriate weight."
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."
A female client has asked the nurse about including alcohol in a healthy diet. When teaching the client about moderation in drinking, what is the maximum number of drinks per day the nurse would recommend for this client?
1
The nurse is teaching a breastfeeding class. Which of the following recommendations are CORRECT? Select all that apply
Alcohol easily crosses the placental barrier. If alcohol is consumed, the mother should wait 4 hours before breastfeeding again
A lactation specialist is teaching a new mother about breastfeeding. Which of the following is a correct teaching point?
Allow the infant to nurse after the breast is empty
Brianna was 6 pounds at birth. Her weight will be approximately ____ pounds by 4 to 6 months and approximately ____ pounds by 12 months
12, 18
The nurse is seeing 12 year old regarding concerns about eating and growth. The nurse is correct to inform the client that he should be having how much calcium daily?
1300mg
A client has a BMI of 16 when she is two years old. She can maintain this BMI until she is ___ years old before she would be classified as underweight.
14
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.
140
Drinking alcohol in moderation means how many drinks per day for men?
2
The nurse is seeing a client with gestational diabetes mellitus. Which of the following information should the nurse consider when planning long term care for this client?
The client is at high risk for developing type 2 diabetes later in life.
MyPlate attempts to limit confusion regarding appropriate portion size by linking specific amounts of foods to the total number of calories in a food plan. What recommendation coincides with a 2,000-calorie daily food plan?
2 1/2 cups of vegetables per day
All women with a body mass index (BMI) of ______ or higher should be counseled about the risks of unhealthy weight to maternal health and future pregnancies. Enter the correct number ONLY.
25
A 13-year-old pregnant teen had BMI of 20 before pregnancy. How many pounds should she gain during pregnancy?
30-35
The nurse determines that an adolescent client's BMI is 32, placing the client's BMI-for-age at the 97th percentile. The nurse understands that this client's risk for adult diabetes is approximately how much greater than that of an adolescent with a healthy weight?
300%
A pregnant woman in the second trimester of her fourth pregnancy is wondering what foods she should eat to increase her intake of iron. Which of the following menus should the nurse recommend?
6 oz. chicken, 1/2 cup of lima beans, one baked potato with skin on
The recommended dosage of folate for pregnant women is _____ ug.
600
Women use approximately _____ calories above their normal total daily calorie needs to produce breast milk.
500
The World Health Organization (WHO) recommends that infants be exclusively breastfed for the first ______ months of life. Enter the correct number ONLY.
6
According to the Dietary Guidelines for Americans, Americans who eat a healthful diet do which of the following? Select all that apply.
Drink low-fat or fat-free milk instead of whole milk. Eat a variety of nutrient-dense foods within and across food groups. Balance calorie intake with calorie needs.
The nurse recognizes which of the following statements about breastfeeding is CORRECT?
Exclusive breastfeeding is related to decreased rate of weight gain in infancy
The nurse notes that a client has several health problems and chronic illnesses. Which standard should the nurse refer to first when determining this client's nutritional needs?
Recommended dietary allowances
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
Which of the ten leading causes of death in the United States are associated with dietary excesses?
stroke, cancer, heart disease
A pregnant woman is in the first trimester of her first pregnancy. The nurse knows that this woman needs more teaching when she states the following?
With careful food selections during pregnancy, I will be able to consume enough iron in my diet to avoid the possibility of having iron-deficiency anemia."
When describing the overall goals of Dietary Guidelines for Americans to a client who wants to make changes in his eating pattern, which is the best way for the nurse to describe this initiative?
It is an initiative aimed at helping people make higher quality food choices.
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 infection.
A new father is asking for ways to help his child develop healthy eating habits. Which of the following is a recommendation for creating a positive eating environment?
Never force a child to eat.
The public health nurse is offering information for parents on nutrition for children. Which of the following is an effective strategy for getting a child on the path to healthy eating?
Offer new foods many times
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 knows the following statements to be true regarding the Estimated Average Requirement (EAR) values. Select all that apply.
The EAR is the amount of a nutrient that is estimated to meet the requirement of half of the healthy people in a lifestyle or gender group. The EAR exceeds the requirements of half of the group and falls below the requirements of the other half
The nurse is providing nutritional education to the parents of a group of toddler aged children. Which of the following children will likely consume the most food?
a larger, content child
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
The nurse is seeing a teenaged client who is pregnant and has a BMI of 20. The nurse should recommend the client gain how much weight?
approximately 35 lbs
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.
After a child is born, when is growth faster than at any other time in a lifespan?
first 12 months
The nurse is seeing a client with her infant for a well baby visit. The client breastfeeds exclusively. The nurse correctly informs the client that her child should not receive what supplement until 6 months of age?
fluoride
A client is asking the nurse to explain the focus of the Healthy People program. The nurse's BEST response is that the focus of 2015-2020 Dietary Guidelines for Americans is which of the following?
focus on healthy eating patterns as a whole
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?
king mackerel shark tilefish
The nurse confirms that the client understands the concept of nutrient-dense foods because the client emphasizes what item in their daily intake?
lean meat
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
When their MyPlate empty calorie allowance is compared, a 15-year-old boy can consume ____ empty calories as an eight-year-old girl.
three times as many
