Nutrition
A client has several tests during the pregnancy. Place the tests in the order they should be performed during pregnancy. 1. routine ultrasound 2. Sickle cell screening 3. Group B streptococcus culture 4. Serum glucose 5. Alpha-fetoprotein testing
2, 5, 1, 4, 3
A client who is pregnant for the first time attends the prenatal cliic. 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 order do infants begin foods, after being fed exclusively by breast (breastmilk) or bottle (breastmilk and/or formula)?
cereal: rice, oatmeal, barley, babyfood: veggies, fruits, meats
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 a pregnant client that might help overcome first-trimester morning sickness?
eat protein before bedtime
What recommendation should a nurse give to clients who have fluid retention during pregnancy?
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 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
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 nurse teaches a pregnant woman about the need to increase her intake of complete proteins. Which foods identified by the client indicate that the teaching is effective? Select all that apply.
milk, eggs, cheese
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 low-birthweight infant
A 36-year-old multigravida who is at 14 weeks' gestation is scheduled 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 can indicate an increased risk for what?
Neural tube defects
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 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 suggestions should the nurse make to help relieve the nausea?
avoid long periods without food
While caring for a pregnant client and her partner, a nurse suspects domestic violence. Which assessments support this suspicion?
- 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.
A pregnant client complains of constipation. Which strategies should the nurse recommend? SELECT ALL THAT APPLY.
-exercise regularly -add a few tablespoons of wheat bran to cereal at breakfast -plan to have a bowel movement at the same time every day
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
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's BEST response?
Let's discuss ways to resolve these common problems.
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 response?
Because you need salt to maintain body water balance, it is not restricted. Just eat a well-balanced diet.
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
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
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
What is the reason for the order of infant foods after breatstmilk/formula exclusively? Choose the BEST answer.
reduced risk of allergic response & nutritional needs with developing preferences setting the stage for food choices over time
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
When discussing dietary needs during pregnancy, a client tells the nurse, "I do not like to drink milk because it makes me constipated." What should the nurse recommend?
treat constipation in some way other than omitting milk