Chapter 11

Which of the following statements by a client who is obese in prepregnancy indicates to the nurse the client understands the nurse's teaching? A: "I will likely gain about 50 pounds by the third trimester" B: "At the high end of the range, I can gain 20 pounds." C: "I should be gaining about 1.5 pounds per week." D: "I should have gained about 10 pounds in the first trimester."

"At the high end of the range, I can gain 20 pounds."

The client is interested in breastfeeding her infant but has to return to work once her maternity leave is over. The client says she is concerned she will not be able to breastfeed her baby long enough for optimal health. How should the nurse respond? A: "It is recommended that you give the baby only breastmilk for the first 3 months of life." B: "It is recommended that you give the baby only breast milk for the first 4 months of life" C: "It is recommended that you give the baby only breast milk for the first 6 months of life" D: "Formula can provide the baby with the exact nutrients found in breast milk"

"It is recommended that you give the baby only breast milk for the first 6 months of life"

A client who is 23 weeks pregnant tells the nurse she is considering drinking herbal tea to help relax in the evenings. Which of the following would be the nurse's best response? A: "The safety of herbs in pregnancy is not known" B: "Herbal teas are known to cause nutritional deficits in babies" C: "Herbs have been found to be teratogenic to the fetus" D: "Research shows many herbs induce early labor'

"The safety of herbs in pregnancy is not known"

What are the nutritional recommendations for calcium during a normal pregnancy? A: 800 mg/day B: 1000 mg/day C: 1200 mg/day D: 1400 mg/day

1000 mg/day

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? A: 40 to 50 pounds B: 30 to 50 pounds C: 28 to 40 pounds D: 20 to 30 pounds

28 to 40 pounds

The client is 24 weeks pregnant. How much have her daily calorie needs increased over her first trimester needs? A: 200 Calories B: 300 Calories C: 400 Calories D: 500 Calories

300 Calories

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. A: Breastfeeding may decrease the risk of food allergies in the infant B: Breastfeeding may be protective against breast cancer in the mother C: Breastfeeding provides reliable contraception D: Breastfeeding can mobilize fat stores to help women lose weight, particularly in the lower body E: Breastfeeding decreases bone density

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

The pregnant client tells the clinic nurse she is worried about neural tube defects in her baby. Which of the following nutritional sources should the nurse recommend to help clients prevent this fetal complication? Select all that apply. A: Folate Supplement B: Breakfast supplements C: Lentils D: Salmon E: Lean beef

A: Folate Supplement B: Breakfast supplements C: Lentils

When assessing a client who is planning to become pregnant, the nurse knows which of the following factors puts the client at risk for poor nutritional status during pregnancy? Select all that apply. A: Living in a remote area B: Prepregnancy BMI of 17 C: Heavy menstruation in pre pregnancy D: Lacto-ovo vegetarian E: Exercise of 30 minutes per day

A: Living in a remote area B: Prepregnancy BMI of 17 C: Heavy menstruation in pre pregnancy

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? A: Between 16 and 20 weeks of gestation B: Between 20 and 24 weeks of gestation C: Between 24 and 28 weeks of gestation D: Between 28 and 32 weeks of gestation

Between 24 and 28 weeks of gestation

The nurse is preparing an educational session on the long-term benefits of breastfeeding. Which of the following teaching points should the nurse include? A: Breastfeeding is associated with a prevention of later life obesity B: Breastfeeding is associated with more predictable menstruation C: Breastfeeding is associated with reducing the risk of postpartum depression D: Breastfeeding is associated with decreased risk of metastatic cancers

Breastfeeding is associated with reducing the risk of postpartum depression

In order to ensure nutritional requirements for folic acid are met during pregnancy, clients need to do which of the following? A: Consume enhanced foods B: Consume fortified foods C: Consume biotech foods D: Consume reinforced foods

Consume fortified foods

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? A: Consumption can lead to neurologic abnormalities in the fetus B: Consumption can lead to stunted fetal growth C: Consumption can lead to fetal malformations D: Consumption can lead to spontaneous abortion

Consumption can lead to neurologic abnormalities in the fetus

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? A: Vitamin b12 B: Riboflavin C: Niacin D: Folic Acid

D: Folic Acid

The nurse is conducting client teaching for a new breastfeeding mother before she is discharged from hospital. Which of the following fluid intake recommendations should the nurse make to the client? A: Drink at least 10 glasses of fluid every 24 hours B: Drink a glass of fluid at every meal C: Drink a glass of fluid every time the baby nurses and at every meal D: Drink a glass of fluid every 2 hours around the clock

Drink a glass of fluid everytime the baby nurses and at every meal

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? A: Eat small, frequent meals B: Drink warm liquids with the meals C: Eat easily digested carbohydrates D: Drink liquids immediately before meals

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? A: A decrease in eyesight B: The stress of pregnancy C: Individual circumstances D: Increased nutrient needs during pregnancy

Individual circumstances

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? A: Excessive weight gain B: Iron deficiency C: Lead contamination D: Diarrhea

Iron deficiency

The nurse will need to discuss supplementation of vitamin B12 with a woman who has which of the following factors influencing her pregnancy? A: Is a strict vegan B: Is lactose intolerant C: Has little sun exposure D: Has a sedentary lifestyle

Is a strict vegan

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? A: Drinking liquids with meals B: Limiting fat intake C: Increasing fluid intake D: Limiting carbohydrate intake

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? A: Lower for vitamin D B: Lower for protein C: Higher for calcium D: Lower for Iron

Lower for Iron

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? A: Second trimester B: First trimester C: Third Trimester D After giving birth

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? A: She will need approximately 450 cal/day increase during the third trimester B: She will need approximately 450 cal/day increase during the second trimester C: She will need approximately 500 cal/day increase during the third trimester D: She will need approximately 500 cal/day increase during the second trimester

She will need approximately 450 cal/day increase during the third 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? A: Drink prune juice with every meal B: Eat vitamin-enriched white bread three times a day C: Eat iron-fortified cereal D: Try drinking Hot water with lemon

Try drinking Hot water with lemon

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? A: "Yes, because the RDA for iron increases with pregnancy" B: "Not as long as you consume 350mg of calcium per day" C: "Yes, especially if you live somewhere with lots of sun" D: "No, because your RDA for calcium does not increase with pregnancy"

Yes, because the RDA for iron increases with pregnancy"