Nutrition For Childbearing

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Question 1
Free
Multiple Choice

When planning a healthy diet with a pregnant patient, what should the nurse's first action be?

Choose correct answer/s
A

Teach the patient about MyPlate.

B

Review the patient's current dietary intake.

C

Instruct the patient to limit the intake of fatty foods.

D

Caution the patient to avoid large doses of vitamins, especially those that are fat-soluble.

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Question 2
Free
Multiple Choice

The nurse is meeting with a patient with an elevated BMI regarding an optimal diet for pregnancy. Which major source of nutrients should be a significant component of this patient's diet?

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A

Fats

B

Fiber

C

Simple sugars

D

Complex carbohydrates

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Question 3
Free
Multiple Choice

In order to increase the absorption of iron by a pregnant patient, which beverage should an iron preparation be given with?

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A

Tea

B

Milk

C

Coffee

D

Orange juice

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Question 4
Free
Multiple Choice

When should iron supplementation during a normal pregnancy begin?

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A

Before pregnancy

B

In the first trimester

C

In the third trimester

D

In the second trimester

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Question 5
Free
Multiple Choice

A patient in her fifth month of pregnancy asks the nurse, "How many more calories should I be eating daily?" What is the correct response by the nurse?

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A

180 more calories a day

B

340 more calories a day

C

452 more calories a day

D

500 more calories a day

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Question 6
Multiple Choice

A pregnant patient's diet may not meet her need for folate. Which food choice is an excellent source of this nutrient?

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A
Chicken
B
Cheese
C
Potatoes
D
Green leafy vegetables
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Question 7
Multiple Choice

A pregnant patient asks the nurse if she can double her prenatal vitamin dose because she does not like to eat vegetables. What is the nurse's response regarding the danger of taking excessive vitamins?

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A
Increases caloric intake
B
Has toxic effects on the fetus
C
Increases absorption of all vitamins
D
Promotes development of pregnancy-induced hypertension (PIH)
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Question 8
Multiple Choice

The nurse is conducting a prenatal nutrition education class for a group of nursing students. Which statement best describes the condition known as pica?

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A
Iron-deficiency anemia
B
Intolerance to milk products
C
Ingestion of nonfood substances
D
Episodes of anorexia and vomiting
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Question 9
Multiple Choice

Which effect is a common response to both smoking and cocaine use in the pregnant patient?

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A
Vasoconstriction
B
Increased appetite
C
Increased metabolism
D
Changes in insulin metabolism
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Question 10
Multiple Choice

Which is the most important reason for evaluating the pattern of weight gain in pregnancy?

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A
Prevents excessive adipose tissue deposits
B
Determines cultural influences on the woman's diet
C
Assesses the need to limit caloric intake in obese women
D
Identifies potential nutritional problems or complications of pregnancy
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Question 11
Multiple Choice

A pregnant patient would like to know which foods, other than dairy products, contain the most calcium. Which food group would the nurse recommend?

Choose correct answer/s
A
Legumes
B
Lean meat
C
Whole grains
D
Yellow vegetables
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Question 12
Multiple Choice

To determine cultural influences on a patient's diet, what is the nurse's primary action?

Choose correct answer/s
A
Evaluate the patient's weight gain during pregnancy.
B
Assess the socioeconomic status of the patient.
C
Discuss the four food groups with the patient.
D
Identify the food preferences and methods of food preparation common to the patient's culture.
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Question 13
Multiple Choice

In teaching a pregnant adolescent about nutrition, what should the nurse include in the care plan?

Choose correct answer/s
A
Determine the weight gain needed to meet adolescent growth and add 35 lb.
B
Suggest that she does not eat at fast food restaurants to avoid foods of poor nutritional value.
C
Realize that most adolescents are unwilling to make dietary changes during pregnancy.
D
Emphasize the need to eliminate common teen snack foods because they are too high in fat and sodium.
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Question 14
Multiple Choice

The traditional diet of Asian women includes little meat and few dairy products and may be low in calcium and iron. The nurse can assist a patient increase her intake of these foods by which action?

Choose correct answer/s
A
Suggest that she eat more tofu, bok choy, and broccoli.
B
Suggest that she eat more hot foods during pregnancy.
C
Emphasize the need for increased milk intake during pregnancy.
D
Tell her husband that she must increase her intake of fruits and vegetables for the baby's sake.
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Question 15
Multiple Choice

Which patient would require additional calories and nutrients?

Choose correct answer/s
A
A 36-year-old female gravida 2, para 1, in her first trimester of pregnancy
B
An 18-year-old female who delivered a 7-lb baby and is bottle feeding
C
A 23-year-old female who had a cesarean birth and is bottle feeding
D
A 20-year-old female who had a vaginal birth 5 months ago and is breastfeeding
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Question 16
Multiple Choice

A patient postdelivery is concerned about getting back to her prepregnancy weight as soon as possible. She had only gained 15 lb during her pregnancy. Which assessment factor would be of concern at her 6-week postpartum checkup?

Choose correct answer/s
A
Patient has lost 30 lb during the 6-week period prior to her scheduled checkup.
B
Patient states that she is eating healthy and limiting intake of processed foods.
C
Patient relates increased consumption of fruits and vegetables in her diet postbirth.
D
Patient has resumed her usual exercise pattern of walking around the neighborhood for 10 minutes each night.
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Question 17
Multiple Choice

Which clinical finding is associated with inadequate maternal weight gain during pregnancy?

Choose correct answer/s
A
Prolonged labor
B
Preeclampsia
C
Gestational diabetes
D
Low-birth-weight infant
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Question 18
Multiple Choice

A pregnant patient arrives for her first prenatal visit at the clinic. She informs the nurse that she has been taking an additional 400 mcg of folic acid prior to becoming pregnant. Based on the patient's history, she has reached 8 weeks' gestation. Which recommendation would the nurse provide regarding folic acid supplementation?

Choose correct answer/s
A
Have the patient continue to take 400 mcg folic acid throughout her pregnancy.
B
Tell the patient that she no longer has to take additional folic acid because it will be included in her prenatal vitamins.
C
Have the patient increase her folic acid intake to 1000 mcg throughout the rest of her pregnancy.
D
Schedule the patient to go for an AFP (alpha-fetoprotein) test.
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Question 19
Multiple Choice

Which patient is most at risk for a low-birth-weight infant?

Choose correct answer/s
A
22-year-old, 60 inches tall, normal prepregnant weight
B
18-year-old, 64 inches tall, body mass index is <18.5
C
30-year-old, 78 inches tall, prepregnant weight is 15 lb above the norm
D
35-year-old, 75 inches tall, total weight gain in previous pregnancies was 33 lb
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Question 20
Multiple Choice

Changes in the diet of the pregnant patient who has phenylketonuria would include

Choose correct answer/s
A
adding foods high in vitamin C.
B
eliminating drinks containing aspartame.
C
restricting protein intake to <20 g a day.
D
increasing caloric intake to at least 1800 cal/day.
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