Chapter 3-4 Review Questions

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 is 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 client tells the nurse that the first day of her last menstrual period was July 22,2015. What is the estimated date of delivery?

April 29,2016

A primigravida in her 10th week of gestation is concerned because she has read that nutrition during pregnancy is important for the growth and 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 eaten over the last 3 days

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

Avoid long periods without food

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

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

A pregnant woman 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

The nurse reads the history of neonate admitted to the nursery and discovers that the infant's mother was listed as gravida 1, para 1 before the baby was born. How should the nurse use these data to gather more information?

Consider that someone recorded the gravida and para incorrectly

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

Different cultural groups favor different essential nutrients

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

Eat protein before bedtime

A client at her first prenatal clinic visit is at 6 weeks gestation. She asks how long she may continue to work and when she should plan to quit. How should the nurse respond?

Elevate the lower extremities

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? Select all that apply.

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

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

Fetal growth

A pregnant client is making her first antepartum visit. She has a 2-year old son born at 40 weeks, a 5-year-old daughter born at 38 weeks and 7-year-old twin daughters born at 25 weeks. She had a spontaneous abortion 3 years ago at 10 weeks. Using GTPAL format, what does the nurse document about the client's obstetric history?

G5 T2 P1 A1 L4

At her first prenatal visit, a client says to the nurse, "I guess I'll be having an internal examination today." What is the nurse best response?

Have you ever had an internal examination done?

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 pregnant client is being prepared for a pelvic examination. She states that she is always tired and feels sick to her stomach, especially in the morning. What is the nurse best response?

Let's discuss ways to resolve these common problems

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

Milk Eggs Cheese

A 36-year-old multigradvia who is at 14 weeks gestation is scheduled is schedule for an alpha fetoprotein test. She asks the nurse, " What does the alpha-fetoprotein test indicate?" The nurse bases a response on the knowledge that this test indicated an increased for what?

Neural tube defects

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 inadequate?

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

A nurse teaches a pregnant woman to avoid lying on her back during labor. What information about the result of lying in the supine position is the basis for the nurse's teaching?

Placental perfusion is decreased

At her first visit to the prenatal clinic a client tells the nurse she is ambivalent about continuing the pregnancy. Why does the nurse conclude that the client is experiencing a crisis?

Pregnancy is a period of change and adjustment to change

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? Select all that apply.

Raw shellfish Herbal supplements Soft- scrambled eggs

A client has several tests during pregnancy. Place the tests in the order they should be performed during pregnancy.

Sickle cell screening Alpha fetoprotein testing for neural tube defects Routine ultrasound Serum glucose for gestational diabetes Group B streptococcus culture

A client who is visiting the prenatal clinic for the first time has a serology test for toxoplasmosis. What information in the client's history indicates to the nurse that there is a need for this test?

Taking care of a cat

A pregnant client asks the clinic nurse how smoking will affect her baby. What information about cigarette smoking will influence the nurse the nurse's response?

The resulting vasoconstriction affects both fetal and maternal blood vessels

When discussing dietary pregnancy a client tells the nurse, "I do not like 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 ensuing 5 months the client has not been successful in adhering to her nutritional plan. Which finding indicates to the nurse that she has been successful during the sixth month?

Weight gain of 2 pounds

While caring for a pregnant client and her partner, a nurse suspects domestic violence. Which assessment support this suspicion? Select all that apply.

Woman has injuries to the breasts and abdomen Partner answers questions that are asked of the woman Woman has visited the clinic several times in the last month