Test Bank for Maternity Nursing Pt 2

6. A pregnant woman’s diet history indicates that she likes the following list of foods. The nurse would encourage this woman to consume more of which food to increase her calcium intake? a. Fresh apricots b. Canned clams c. Spaghetti with meat sauce d. Canned sardines ANS: D Feedback A Apricots are not high in calcium. B Canned clams are not high in calcium. C Spaghetti with meat sauce is not high in calcium. D Sardines are rich in calcium. DIF: Cognitive Level: Comprehension REF: 248 OBJ: Client Needs: Physiologic Integrity 7. TOP: Nursing Process: Planning A 27-year-old pregnant woman had a preconceptual body mass index (BMI) of 18.0. The nurse knows that this woman’s total recommended weight gain during pregnancy should be at least: a. 20 kg (44 lb). b. 16 kg (35 lb). c. 12.5 kg (27.5 lb). d. 10 kg (22 lb). ANS: C Feedback A This weight gain would be unhealthy for most women. This woman has a normal BMI and should gain 11.5 to 16 kg during pregnancy. B This is the high end of the range of weight this woman should gain in her pregnancy. C This woman has a normal BMI and should gain 11.5 to 16 kg during pregnancy. D This weight gain would be appropriate for an obese woman. This woman has a normal BMI, which indicates that her weight is average. DIF: Cognitive Level: Comprehension REF: 243 OBJ: Client Needs: Health Promotion and Maintenance Process: Planning 8. A woman in week 34 of pregnancy reports that she is very uncomfortable because of heartburn. The nurse would suggest that the woman: a. Substitute other calcium sources for milk in her diet. b. Lie down after each meal. c. Reduce the amount of fiber she consumes. d. Eat five small meals daily. ANS: D TOP: Nursing Feedback A Eliminating milk in the diet is an inappropriate dietary suggestion for all pregnant women, and it does not alleviate heartburn. B Lying down after meals may actually increase the symptoms of heartburn. C Reducing the amount of dietary fiber consumed is not likely to alleviate heartburn. D Eating small, frequent meals may help with heartburn, nausea, and vomiting. DIF: Cognitive Level: Comprehension REF: 259 OBJ: Client Needs: Physiologic Integrity TOP: Nursing Process: Planning 9. A woman has come to the clinic for preconception counseling because she wants to start trying to get pregnant in 3 months. She can expect the following advice: a. “Discontinue all contraception now.” b. “Lose weight so that you can gain more during pregnancy.” c. “You may take any medications you have been taking regularly.” d. “Make sure that you include adequate folic acid in your diet.” ANS: D Feedback A Depending on the type of contraception used, this may not be an accurate statement. B This statement is not appropriate advice. C Depending on the type of medication the woman is taking, this may not be an accurate statement. D A healthy diet before conception is the best way to ensure that adequate nutrients are available for the developing fetus. A woman’s folate or folic acid intake is of particular concern in the periconception period. Neural tube defects are more common in infants of women with a poor folic acid intake. DIF: Cognitive Level: Application REF: 240 OBJ: Client Needs: Health Promotion and Maintenance Process: Planning TOP: Nursing 10. To prevent gastrointestinal upset, patients should be instructed to take iron supplements: a. On a full stomach. b. At bedtime. c. After eating a meal. d. With milk. ANS: B Feedback A Iron supplements are best absorbed if they are taken when the stomach is empty. Iron can be taken at bedtime if abdominal discomfort occurs when it is taken between meals. B Taking the iron supplement at bedtime is helpful in reducing gastrointestinal discomfort. C Iron supplements are best absorbed if they are taken when the stomach is empty. Iron can be taken at bedtime if abdominal discomfort occurs when it is taken between meals. D Iron supplements are best absorbed if they are taken when the stomach is empty. Bran, tea, coffee, milk, and eggs may reduce absorption. DIF: Cognitive Level: Application OBJ: Client Needs: Physiologic Integrity 11. a. REF: 247 TOP: Nursing Process: Planning Pregnant adolescents are at high risk for _____ because of lower body mass indices (BMIs) and “fad” dieting. Obesity b. Diabetes c. Low-birth-weight babies d. High-birth-weight babies ANS: C Feedback A Obesity is associated with higher BMIs. Adolescents typically have a lower BMI because they are still developing and they may follow unsafe nutritional practices. B Diabetes is associated with higher BMIs, or obesity. Adolescents typically have a lower BMI because they are still developing and they may follow unsafe nutritional practices. C Adolescents tend to have lower BMIs. In addition, the fetus and still-growing mother appear to compete for nutrients. These factors, along with inadequate weight gain, lend themselves to a higher incidence of low-birth-weight babies. D High-birth-weight babies are frequently associated with women who have gestational diabetes or obesity. Adolescents typically have a lower BMI, because they are still developing and they may follow unsafe nutritional practices. DIF: Cognitive Level: Application REF: 252 OBJ: Client Needs: Health Promotion and Maintenance TOP: Nursing Process: Assessment, Diagnosis 12. a. Which statement about acronyms in nutrition is accurate? Dietary reference intakes (DRIs) consist of RDAs, adequate intakes (AIs), and upper limits (ULs). b. Recommended dietary allowances (RDAs) are the same as ULs, except with better data. c. AIs offer guidelines for avoiding excessive amounts of nutrients. d. They all refer to green, leafy vegetables; whole grains; and fruit. ANS: A Feedback A DRIs consist of RDAs, AIs, and ULs. AIs are similar to RDAs, except that they deal with nutrients about which data are insufficient for certainty (RDA status). ULs are guidelines for avoiding excesses of nutrients for which excess is toxic. Green, leafy vegetables; whole grains; and fruit are important, but they are not the whole nutritional story. B DRIs consist of RDAs, AIs, and ULs. AIs are similar to RDAs, except that they deal with nutrients about which data are insufficient for certainty (RDA status). ULs are guidelines for avoiding excesses of nutrients for which excess is toxic. Green, leafy vegetables; whole grains; and fruit are important, but they are not the whole nutritional story. C DRIs consist of RDAs, AIs, and ULs. AIs are similar to RDAs, except that they deal with nutrients about which data are insufficient for certainty (RDA status). ULs are guidelines for avoiding excesses of nutrients for which excess is toxic. Green, leafy vegetables; whole grains; and fruit are important, but they are not the whole nutritional story. D DRIs consist of RDAs, AIs, and ULs. AIs are similar to RDAs, except that they deal with nutrients about which data are insufficient for certainty (RDA status). ULs are guidelines for avoiding excesses of nutrients for which excess is toxic. Green, leafy vegetables; whole grains; and fruit are important, but they are not the whole nutritional story. DIF: Cognitive Level: Knowledge REF: 240 OBJ: Client Needs: Physiologic Integrity 13. TOP: Nursing Process: Assessment With regard to protein in the diet of pregnant women, nurses should be aware that: a. Many protein-rich foods are also good sources of calcium, iron, and B vitamins. b. Many women need to increase their protein intake during pregnancy. c. As with carbohydrates and fat, no specific recommendations exist for the amount of protein in the diet. d. High-protein supplements can be used without risk by women on macrobiotic diets. ANS: A Feedback A Good protein sources such as meat, milk, eggs, and cheese have a lot of calcium and iron. B Most women already eat a high-protein diet and do not need to increase their intake. C Protein is sufficiently important that specific servings of meat and dairy are recommended. D High-protein supplements are not recommended because they have been associated with an increased incidence of preterm births. DIF: Cognitive Level: Knowledge REF: 241 OBJ: Client Needs: Physiologic TOP: Nursing Process: Planning Integrity