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Terms in this set (47)When planning a diet with a pregnant client, what should the nurses first action be? b. review the clients current dietary intake A nurse is teaching a nutrition class to a group of pregnant clients. The nurse should include that the major source of nutrients in the diet of a pregnant woman should be composed of which. d. complex carbohydrates To increase the absorption of iron in a pregnant client, with what should an iron preparation be given d. orange juice When should iron supplementation during a normal
pregnancy begin d. in the second trimester What is the recommended weight gain during pregnancy for a client who begins pregnancy at a normal weight. d. 25 to 35 lb A client in her fifth month of pregnancy asks the nurse "how many more calories should I be eating daily". What should the nurses response be? b. 340 more calories a day
A pregnant clients diet may not meet her need for folate. What is a good source of this nutrient. d. green leafy vegetables. A pregnant client asks the nurse if she can double her prenatal vitamin dose
because she doesnt like to eat vegetables. What is the nurses response about the danger of taking excessive vitamins b. has toxic effects on the fetus. A nurse is conducting a prenatal nutritional education class for a group of nursing students. Which should the nurse include as the definition of pica. c. ingestion of nonfood substances Which is the common effect of both smoking and cocaine use on the pregnant client. a. vasoconstriction The breastfeeding client whose recommended pre-pregnancy caloric intake was 2000 calories per day would need how many
calories per day to meet her current needs b. 2500 Which is the most important reason for evaluating the pattern of weight gain in pregnancy. d. identifies potential nutritional problems or complications of pregnancy A pregnant client would like to know a good food source of calcium other than dairy products. Which is the best answer that the nurse should give a. legumes To determine cultural influences on a clients diet, what should the nurse do first d. identify the food preferences and methods of food preparation common to the clients culture Which pregnant adolescent is most at risk for a nutritional deficit during pregnancy. b. a 17 yr old who is 10lb underweight What should be the goal of a client with the nursing diagnosis "imbalanced nutrition: Less than body requirements" (related to diet choices inadequate to meet the nutrient requirements of pregnancy). a. gain a total of 30 lbs. A client who is in week 28 of gestation is concerned about her weight gain of 17 lb. Which is the nurses best response. d. you have gained an appropriate amount for the number of weeks of your pregnancy. In teaching a pregnant adolescent about nutrition, what should the nurse plan to do a. determine the weight gain needed to meet adolescent growth and add 35 lb The traditional diet of Asian women includes little meat and few dairy products and may be low in calcium and iron. The nurse can help a client increase her intake of these foods by which action a. suggest that she eat more tofu, bok choy, and broccoli When planning a diet for a pregnant client, which nutritional interventions should be implemented b. protein in the diet should be increased to meet growth and development needs. A pregnant client asks the nurse if she should take herbal
supplements during pregnancy. What is the best response to her query b. prenatal vitamins are the only things should be taken during pregnancy. Which client would require additional calories and nutrients d. a 20 yr old female who had a vaginal birth 5 months ago and is breastfeeding A client post-delivery is concerned about getting back to her pre-pregnancy weight. She had only gained 15 lbs during her pregnancy. Which assessment factor would be of concern at her 6 week postpartum checkup a. client has lost 35 lbs during the 6 week period prior to her scheduled check up Which of the following is associated with inadequate maternal weight gain during pregnancy. d. low birth weight infant A nurse is developing information to give to a group of pregnant women who are interested in nutritional management of their pregnancy with regard to expected weight gain. The nurse bases the amount of weight gain for pregnant women on calculation of their c. BMI A pregnant client comes to the OB clinic and informs you that she is very concerned about the amount of weight gain associated with pregnancy. She then tells you that she wants to switch to a low fat diet during pregnancy. BMI measurements indicate a BMI of 22.7. What would be the best nursing response to this clients stated plan c. advise the client that it is important to maintain the intake of essential fatty acids during pregnancy A pregnant client arrives for her first prenatal visit at the clinic. She tells you that she has been taking an additional 400 mcg of folic acid prior to her pregnancy. Based on information obtained, she is at 8 weeks gestation. What recommendation would you give regarding folic acid supplementation b. tell the client that she no longer has to take additional folic acid because it will be included in her prenatal vitamins Which food
selections would lead to enhanced iron absorption during pregnancy c. drinking orange juice Which client is most at risk for a low birth weight infant b. 18 yr old, 64 inches tall, body mass index is <18.5 Changes in the diet of the pregnant client who has phenylketonuria would include b. eliminating drinks containing aspartame When explaining the recommended weight gain to your client, the nurses teaching should include which statement c. weight gain in pregnancy is based on the clients prepregnant BMI Identify the appropriate weight gain at 28 weeks gestation for a client with a normal BMI
before pregnancy. b. 19 lbs Which client has correctly increased her caloric intake from her recommended pregnancy intake to the amount necessary to sustain breastfeeding in the first 6 postpartum
months. c. from 2200 to 2530 calories per day The pregnant woman of normal weight enters her 13th week of pregnancy. If the client eats and exercises as directed, what will the nurse anticipate as the ongoing weight gain for the remaining trimesters.
b. 1 lb every week A client with a BMI of 32 has a positive pregnancy test. What is the maximum number of pounds that the nurse will advise the client to gain during the pregnancy a. 20 - the weight gain for obese women is 5 to 9 kg (11 to 20lb) the pregnant client with significant iron deficiency anemia is prescribed iron supplements. The client confides to the nurse that she cant take iron because it makes her nauseous. What is the best response by the nurse d. try taking the iron at bedtime on an empty stomach What will the nurse advise when providing nutrition education to the pregnant client a. every day you need to have at least 6 ounces of protein from sources such as meat, eggs, beans, nuts, soybean products, and tofu For the pregnant client who is a vegan, what combination of foods will the nurse advise to meet the nutritional needs for all essential amino acids. c. grains and legumes A pregnant client has lactose intolerance.
What recommendation will the nurse provide to best help the client meet dietary needs for calcium a. add foods such as nuts, dried fruit, and broccoli to the diet. The nurse is reviewing the changes in nutrition related to pregnancy with a 17 yr old who is 12 weeks pregnant. They are specifically focusing on the dairy requirements. What is the nurses next action b. ask, how many servings from the dairy group do you eat each day. The HCP has recommended an iron supplement for the patient who is 20 weeks pregnant. The nurse is reviewing the recommendation with the patient. What fluid is best for the nurse to recommend when taking an
iron supplement. c. 4 oz of orange juice The nurse is reviewing a list of foods high in folic acid with a patient who is considering becoming pregnant. The nurse determines that the patient understands the teaching when the patient states she will include which list of foods in her diet. d. spinach, orange juice, and fortified bran flakes A patient at 8 weeks gestation complains to the nurse, I feel sick almost every morning. And I throw up at least two or three times a week. What is the nurses best advice to the patient. a c. try eating peanut butter on whole wheat bread right before going to bed The nurse is teaching
a client taking prenatal vitamins how to avoid constipation. Which should the nurse plan to include in the teaching session. select all B, C, D The nurse is teaching a breastfeeding client about substances to avoid while she is breastfeeding. Which substances should the nurse include in the teaching session. Select all A, B, D The nurse is advising a lactose-intolerant pregnant
client about calcium intake. Which calcium sources are approximately equivalent to 1 cup of milk. select all A, C, D The nurse is teaching a pregnant client about food safety during pregnancy and lactation. Which statements by the client indicate she understood the teaching. select
all A, B, E Sets found in the same folderCh. 9 Assessing the fetus51 terms hluvbrown Chapter 6 Maternal Adaptations to Pregnancy31 terms morgan_cook2695PLUS Ch. 11: The childbearing family with special needs26 terms hluvbrown Ch. 2 - Ethical, Social, and Legal Issues24 terms hluvbrown Other sets by this creatorP&R Semester 4 Worksheet210 terms hluvbrown Chapter 1345 terms hluvbrown Chap 1243 terms hluvbrown Chap. 1144 terms hluvbrown Recommended textbook solutions
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Which food would the nurse recommend to a pregnant client to most significantly increase the client's intake of folic acid?Folate-rich food sources are citrus fruits, dark-green leafy vegetables, nuts, and liver. Folate requirements increase during pregnancy as a result of rapidly dividing cells related to fetal growth.
What is the essential nutrient for a woman during the initial stages of pregnancy?Folate and folic acid — Prevent brain and spinal cord birth problems. Folate is a B vitamin that helps prevent serious problems with the developing brain and spinal cord (neural tube defects). The synthetic form of folate found in supplements and fortified foods is known as folic acid.
What should a nurse include in nutritional planning for a newly pregnant woman of Averageheight weighing 145 pounds?Nutritional planning for a newly pregnant woman of average height and weighing 145 pounds should include: An increase of 300 calories a day in the 2nd and 3rd trimester. A decrease of 200 calories a day in the second and third trimester. An increase of 500 calories a day in the first trimester.
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