PrepU Ch. 13

Assessment of pregnant woman reveals that the woman has a BMI of 31. The woman is pregnant with one fetus. The nurse would most likely recommend a total weight gain of no greater than which amount?

20 pounds

A nurse is reviewing the medical records of several women who come to the prenatal clinic for care. The nurse plans to increase the number of teaching sessions on nutrition for the women at risk for poor nutritional status. Which woman would the nurse most likely identify as needing the additional sessions. Select all that apply.

A woman who is 42-years of age A woman whose prepartum weight was less 85% of ideal weight. A woman who shows a weight gain of 2 or more pounds per week.

At 32 weeks' gestation a client with a BMI of 23 has gained 24 lb (11 kg). What is the nurse's recommendation for weight gain for the remainder of this pregnancy?

Continue to gain approximately 1 lb (.45 kg) per week during this pregnancy.

A nurse assesses a primigravida client in the eighth week of gestation. The client reports nausea and vomiting in the mornings. The client tells the nurse, "I'm not able to keep liquids down and I'm eating like a bird." The client also expresses concerns about hormonal changes and how the pregnancy will affect her physical appearance. Which client problem should the nurse assess first?

Deficient fluid volume

A nurse is conducting a class for a group of pregnant women about nutritional needs during pregnancy. Which statement would the nurse include when describing a woman's mineral needs in pregnancy?

Pregnant women should drink fluoridated water

When developing a plan of care, the nurse needs to make which assessments for a pregnant client with a BMI of 18.3? Select all that apply.

assess for maternal fatigue assess for poor fetal growth assess for preterm labor

A nurse is interviewing a primigravida woman about nutrition during pregnancy. During the interview, the woman asks the nurse about consuming caffeine. Which information would the nurse include when teaching the woman about caffeine intake during pregnancy? Select all that apply.

"Pregnant women should not consume more than 300 mg of caffeine a day. An 8 oz cup of coffee has approximately 120 mg of caffeine." "Although it includes significantly smaller amounts, chocolate also contains caffeine."

You are discussing weight gain with a group of pregnant women at the clinic. One woman is very thin and her prepregnancy weight falls below the normal weight range for her height. What is her recommended weight gain during her pregnancy?

28 to 40 pounds

Which of the following is true regarding problems that commonly affect nutritional health in pregnancy?

50% of women report pyrosis at some point in pregnancy.

What is the recommended amount of protein (grams/day) in pregnancy?

71 g/d

When counseling a Japanese American about nutrition and diet in pregnancy, it would be important to include

A list of foods that contain calcium

Vitamin B12 deficiency is most likely to be found in which patient?

A vegan

A woman in her third trimester is suffering from heartburn. What should the nurse advise her to do?

Eat small meals frequently rather than large meals

During pregnancy most nutritional needs can be consumed in adequate amounts through the diet. What nutrient is the exception to this statement?

Iron

A client in her second trimester of pregnancy arrives at a health care facility reporting heartburn. What instructions should the nurse offer to help the client deal with heartburn? Select all that apply.

Limit consumption of food before bedtime. Sleep in a semi-Fowler's position. Avoid overeating.

The nutritional needs of an adolescent pregnant patient are unique because

Owing to typical food choices, an adolescent is often lacking calcium, iron, and folic acid in the diet

A client reports prolonged nausea, vomiting every morning for the past week, and no appetite. The pregnancy test comes back positive. What recommendation should the nurse give this client? Select all that apply.

Take small amounts of liquids between, not with meals. Eat a saltine cracker before getting out of bed in the morning. Delay eating breakfast until the nausea and vomiting has passed.

At 16 weeks' gestation, a client is vomiting 3 to 5 times per day. The nurse will assess the client for the development of which condition?

hypokalemic alkalosis

To prevent exposure to hepatitis A virus, the nurse teaches the pregnant client to avoid which food?

raw fish

The nurse is reviewing the charts of a group of clients. Which client's weight gain should the nurse be concerned about?

the client who gained 8 lb (4 kg) in the first trimester

A patient of normal weight and new to the obstetric clinic asks the nurse how much weight to gain during pregnancy. What is the best response the nurse can give?

10 lbs over the first 20 weeks; 1 lb per week after that

All of the following are physical signs of protein deficiency in pregnancy EXCEPT

Correct response: Fissures at the corner of the mouth or pale mucous membranes