OB Chapter 13

You encourage a pregnant woman to eat a diet high in complete protein. Assuming she likes all of the following foods, which of them would you recommend as a source of this for her?

A boiled or fried egg

A pregnant woman tells you that she does not drink much fluid daily. How many glasses of fluid would you advise her to ingest daily during pregnancy?

6

Which of the following women is apt to be at the greatest risk for nutritional deficiency during pregnancy?

A woman with a 1-year-old son

Which of the following would you suggest to a pregnant woman who follows a vegetarian diet?

Anticipate needing a vitamin B12 supplement during pregnancy.

You meet a family at the prenatal clinic. What is the most effective way to assess the woman's usual food intake during her pregnancy?

Ask her to describe her intake for the last 24 hours.

A pregnant woman tells you that she wants to avoid saturated fat by using vegetable oil. What is another advantage of vegetable oil?

Contains linoleic acid

The B vitamins are important for pregnancy nutrition. Which of the following foods is the best source of vitamin B12?

Cottage cheese

A woman in early pregnancy is concerned because she is nauseated every morning. Which of the following would be the best measure to help relieve this?

Delay breakfast until midmorning.

A woman who is 4 months pregnant has pyrosis. Which of the following suggestions would you give her?

Eat small meals and do not lie down after meals.

If constipation is a problem for a woman during pregnancy, which of the following would be best to recommend?

Increased fiber intake

Which food below is not a good source of iron?

Milk

At a prenatal appointment, a woman who is 3 months pregnant confides to you that she ingests starch because of a craving she has had since adolescence. She is now 26 years old. What would be your most appropriate response?

Suggest she have a hemoglobin assessment done because of the association between pica and iron-deficiency anemia.

A woman who professes to be a strict vegetarian voices concerns about her ability to meet the nutritional needs of her fetus. Which concerns should be addressed in this session?

The supplementation of Vitamin B12 should be addressed.

A woman of normal weight asks you what an ideal weight gain is during pregnancy. Which of the following would be your best answer?

Twenty-five to thirty-five pounds is ideal.

A woman asks you if she can take an over-the-counter vitamin during pregnancy rather than her prescription prenatal vitamin. A chief ingredient in prenatal vitamins that makes them important for pregnancy nutrition is

folic acid.