ch. 14 Flashcards

1
Q

Of the following, which are the best choices for a lactovegetarian who is pregnant and worried about getting enough B-12?
{hard boiled eggs, fortified breakfast cereal, clam chowder, yogurt}

A

eggs, cereal, yoghurt

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2
Q

How much should pregnant women increase their calories during pregnancy?

A

No increase is needed during 1st trimester, but consume an additional 350 to 450 kilocalories per day during the 2nd & 3rd trimesters

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3
Q

What does it mean if a specific source of protein is incomplete?”

A

Most plant proteins are low in one or more essential amino acids.

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4
Q

“I always assumed I was doing a good job of meeting my nutrient needs before I got pregnant. Do some vitamin and mineral requirements change during pregnancy?”

A

Yes, the requirements for B vitamins—especially folate—increase during pregnancy.

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5
Q

“What is a good source of iron for a person following a lactoovovegetarian dietary pattern?”

A

Kidney beans

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6
Q

I realize anemia is a concern because I’m a vegetarian. How can I get the most iron out of the foods I eat?

A

Eat iron-rich foods along with a glass of orange juice.

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7
Q

“I’ve heard that too much vitamin A can cause birth defects. Should I cut back on my consumption of carrots, spinach, and sweet potatoes?”

A

No, it is unlikely that you would develop vitamin A toxicity from consuming provitamin A carotenoids because the conversion of carotenoids to the active form of vitamin A in the body is slow and regulated.

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8
Q

During pregnancy, folate requirements increase to 150% of nonpregnant needs in order to

A

support increased DNA synthesis.

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9
Q

One cup of cooked spinach supplies about 260 micrograms of folate, whereas the same volume of raw spinach supplies only 58 micrograms of folate. Why is there a difference in folate content between the same serving size of cooked versus raw spinach?

A

Cooking reduces the volume of leafy green vegetables, so more vegetables are in that 1 cup of cooked spinach.

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10
Q

Which of the following cooking methods is best for preserving the folate content of collard greens?
steaming, boiling, sauteeing w bacon, all of these are correct

A

steaming

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11
Q

Which of the following measurements is used to make weight gain recommendations during pregnancy?

A

Prepregnancy BMI

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12
Q

Choose dietary and lifestyle changes that can decrease the occurrence of PCOS.
a) daily physical activity
b) if overweight, losing 5% to 10% of body weight
c) increasing fat calories
d) choosing low glycemic-index carbohydrates

A

a) daily physical activity
b) if overweight, losing 5% to 10% of body weight
d) choosing low glycemic-index carbohydrates

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13
Q

Folate is important for fertility because of its role in

A

DNA synthesis

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14
Q

Approximately what percentage of pregnancies are planned?

A

50%

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15
Q

What is the time period for a normal pregnancy?

A

38-42 weeks

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16
Q

What are some nutritional problems experienced by infants that are born before 37 weeks’ gestation?
a) insufficient fat
b) decreased metabolic rate
c) insufficient iron & calcium stores
d) poor ability to suck & swallow

A

a) insufficient fat
c) insufficient iron & calcium stores
d) poor ability to suck & swallow

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17
Q

Criteria for a successful outcome for a baby’s birth include a ______.
a) gestation longer than 37 weeks
b) birth weight greater than 5.5 lbs
c) labor duration less than 4hrs
d) length of 29in

A

a) gestation longer than 37 weeks
b) birth weight greater than 5.5 lbs

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18
Q

The length of a normal pregnancy is 38 to 42 weeks, measured from the ______ day of the woman’s last menstrual period.

A

1st

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19
Q

Gestation is

A

Gestation is

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20
Q

Siblings born in close succession are more likely to be born with a ______ birth weight than those farther apart in age.

A

lower

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21
Q

Which of the following are considered to be important indicators of a successful pregnancy?
a) gestational period is 32wks or longer
b) mother’s physical & emotional health are protected
c) infant birth weight is greater than 5.5 lbs

A

b) mother’s physical & emotional health are protected
c) infant birth weight is greater than 5.5 lbs

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22
Q

What are some substances a woman should avoid/eliminate both in preparation and during pregnancy?
a) artificial sweeteners
b) common cold meds
c) tobacco
d) NSAIDs
e) alcohol

A

b) common cold meds
c) tobacco
d) NSAIDs
e) alcohol

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23
Q

True or false: Listeria monocytogenes is of particular concern for pregnant women because it can produce spontaneous abortion.

A

true

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24
Q

Which of the following infants is likely to be born with a low birth weight?
a) infant whose mother had poorly controlled gestational diabetes
b) an infant whose mother quit smoking before becoming pregnant
c) infant born 14mo after his older sibling
d) an infant whose mother started pregnancy w/ a BMI of 23.

A

c) infant born 14mo after his older sibling

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25
Q

Adequate folate intake at least 8 weeks prior to conception helps prevent
a) maternal obesity
b) premature birth
c) neural tube defects

A

b) premature birth
c) neural tube defects

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26
Q

A gestation period of at least ______ is one criterion for a successful pregnancy.

A

37

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27
Q

The foodborne illness that poses the greatest risk during pregnancy is caused by
a) listeria monocytogenes
b) staphylococcus aureus
c) norovirus
d) salmonella species

A

a) listeria monocytogenes

28
Q

Of the following, select the two best predictors of successful pregnancy outcomes.
a) appropriate weight gain during pregnancy
b) vigorous physical activity prior to pregnancy
c) healthy prepregnancy weight
d) taking a multivitamin & mineral supplement

A

a) appropriate weight gain during pregnancy
c) healthy prepregnancy weight

29
Q

True or false: Protein, carbohydrate, and micronutrient needs are increased to support pregnancy.

A

true

30
Q

Increased calorie intake during pregnancy
a) supports fetal growth & development
b) maintains maternal bone mass
c) contributes to maternal fat storage
d) prevents neural tube defects

A

a) supports fetal growth & development
c) contributes to maternal fat storage

31
Q

What first action should a pregnant woman take if she is interested in beginning a regular physical activity program during pregnancy?
a) begin taking spin, yoga, & other aerobic fitness classes that include non-weight-bearing activity
b) consult a physician
c) read more about different programs available
d) join a local gym

A

b) consult a physician

32
Q

What is the RDA for carbohydrates during pregnancy?

A

The RDA for carbohydrates increases to 175 grams per day during pregnancy.

33
Q

To support the growth and development of the fetus, pregnant women should ______.
a) decrease their intake of fiber
b) increase their intake of discretionary calories
c) increase their calorie intake
d) increase their intake of saturated fat

A

c) increase their calorie intake

34
Q

What is the recommendation for fat intake during pregnancy?

a) Fat intake should increase proportionally with increased caloric intake to maintain 20 to 35% of calories from fat.

b) Fat intake should increase to 50% of caloric intake to ensure adequate fat stores to support the pregnancy.

c) Fat intake should increase to 35-45% of total caloric intake.

A

a) Fat intake should increase proportionally with increased caloric intake to maintain 20 to 35% of calories from fat.

35
Q

The main purpose of the increase in carbohydrates during pregnancy is primarily to prevent: ___?

A

ketosis

36
Q

A woman’s need for this vitamin increases by only 10% during pregnancy, so it does not need specific focus?

A

vitamin A

37
Q

Generally, mineral needs {do not change, decrease, increase} during pregnancy.

A

increase

38
Q

What should be included in a food plan for a pregnant woman who requires 2200 kcal per day during the first trimester?
a) 3cup calcium-rich foods from dairy group
b) 3cups veggie group
c) 2cups from fruits group
d) 9oz equivalents from grains group
e) 8oz equivalents from protein group

A

a) 3cup calcium-rich foods from dairy group
b) 3cups veggie group
c) 2cups from fruits group

39
Q

During pregnancy, the RDA or AI increases for which of the following vitamins?
a) vitamin K
b) vitamin B-6
c) folate
d) vitamin B-12

A

b) vitamin B-6
c) folate
d) vitamin B-12

40
Q

Which two supplements should not be taken together to avoid competition for absorption?
a) iron
b) folate
c) vitamin B-12
d) calcium

A

a) iron
d) calcium

41
Q

Fetal needs for oxygen and nutrients, as well as excretion of waste products, increase the burden on the mother’s ______.
a) lungs
b) brain
c) kidneys
d) heart

A

a) lungs
c) kidneys
d) heart

42
Q

To prevent or reduce heartburn during pregnancy it is helpful to ______.
a) choose lowfat meals
b) avoid spicy foods
c) drink fluid during meals, not between meals
d) avoid lying down for 3+ hrs after a meal

A

a) choose lowfat meals
b) avoid spicy foods
d) avoid lying down for 3+ hrs after a meal

43
Q

Physiological anemia during pregnancy is also referred to as

A

hemodilution.

44
Q

Which factor contributes to the increased occurrence of heartburn during pregnancy?

A

Hormones from the placenta relax GI tract muscles.

45
Q

Which factors contribute to edema during pregnancy?
a) increased blood volume
b) intake of iodized salt
c) placental hormones
d) high levels of physical activity

A

a) increased blood volume
c) placental hormones

46
Q

Gestational hypertension is diagnosed after 20 weeks of gestation when the blood pressure is greater than ______.

A

140/90 mmHg

47
Q

Please pair the organization with its recommendation for breastfeeding.

American Dietetic Association / World Health Organization

{Infants should be exclusively breastfed for the first 6 months, with the combination of breastfeeding and infant solid foods up until one year.}

{Breastfeeding should continue for 2 years with the appropriate introduction of solid foods after the first 6 months}

A

ADA : Infants should be exclusively breastfed for the first 6 months, with the combination of breastfeeding and infant solid foods up until one year.
WHO : Breastfeeding should continue for 2 years with the appropriate introduction of solid foods after the first 6 months

48
Q

Saclike structures in the breast that store milk are called

A

lobules or alveoli

49
Q

Which factor contributes to the increased occurrence of heartburn during pregnancy?

A

Hormones from the placenta relax GI tract muscles.

50
Q

Which factors differentiate cow’s milk from human milk?

A

Certain proteins in cow’s milk may spur allergies in the infant.

Cow’s milk does not contain enough carbohydrate to meet the infant’s need.

Cow’s milk is too high in minerals and protein in comparison to human milk.

51
Q

Choose the nutrients that have a requirement higher when breastfeeding than during the second and third trimesters.

a) vitamins A, E, and C
b) riboflavin, copper, and chromium
c) iodine, manganese, selenium, and zinc
d) folate & iron

A

a) vitamins A, E, and C
b) riboflavin, copper, and chromium
c) iodine, manganese, selenium, and zinc

52
Q

What are some advantages of breastfeeding for the mother?

A

Decreases the risk of ovarian and premenopausal breast cancer.

Contributes to an earlier recovery from pregnancy.

Potential for quicker return to prepregnancy weight.

53
Q

Why is it important for a breastfeeding woman to consume an adequate amount of omega-3 fatty acids?

A

Omega-3 fatty acids are secreted into breast milk and are important for development of the infant’s nervous system.

54
Q

What are some advantages of breastfeeding for the infant?

A

Decreases ear infections

Contributes to maturation of the infant’s GI tract

Contributes to proper development of jaws and teeth

decreased risk of childhood leukemia and lymphoma

establishes a habit of eating in moderation

may enhance nervous system development and eventual learning ability

55
Q

Which statements are true about the causes of birth defects?
15-25% of birth defects are caused by genetics.

10% of birth defects are caused by environmental factors.

Most birth defects are caused by genetics.

Most birth defects are caused by environmental factors.

For the majority of birth defects, the cause is unknown.

A

15-25% of birth defects are caused by genetics.

10% of birth defects are caused by environmental factors.

For the majority of birth defects, the cause is unknown.

56
Q

A teratogen is a compound that may cause

A

birth defects.

57
Q

Which statement is true about birth defects and death?

Birth defects are the major cause of both spontaneous abortion and infant death.

Birth defects are the presumed cause of many spontaneous abortions and are linked to 20% of infant deaths before one year.

Birth defects are the presumed cause of many spontaneous abortions and are linked to 50% of infant deaths before one year.

A

Birth defects are the presumed cause of many spontaneous abortions and are linked to 20% of infant deaths before one year.

58
Q

A woman who has previously given birth to an infant with a neural tube defect should consult her physician about taking ______ per day of synthetic folic acid for at least 1 month prior to conception.

A

4,000 micrograms

59
Q

Which statements are true about congenital hypothyroidism?

The best way to prevent the condition is to consume an iodine supplement.

It is classified as a disorder of the pituitary gland that leads to diminished physical and mental development.

It is a form of hypothyroidism that leads to diminished physical and mental development if left untreated.

The best way to prevent the condition is to consume iodized salt.

A

It is a form of hypothyroidism that leads to diminished physical and mental development if left untreated.

The best way to prevent the condition is to consume iodized salt.

60
Q

True or false: There is significant evidence to support supplementation with antioxidant nutrients during pregnancy to reduce the risk of birth defects.

A

false

61
Q

A caffeine intake equivalent to more than ______ cups of coffee per day may increase the risk of miscarriage or delivering a low birthweight infant.

A

5

62
Q

Congenital hypothyroidism is caused by low
{ } status during the first trimester of pregnancy.

A

iodine

63
Q

What are the best ways that a pregnant woman can reduce her chances of acquiring vitamin A toxicity?

A

Eating a balanced diet.

Prudent use of dietary supplements.

64
Q

What are the negative effects of caffeine consumption associated with pregnancy?

Caffeine increases fetal blood pressure to a dangerously high level.

Caffeine consumption decreases the mother’s ability to absorb iron.

The fetus is unable to detoxify caffeine.

Caffeine increases the mother’s risk of developing hypertension.

Caffeine reduces blood flow through the placenta.

A

Caffeine consumption decreases the mother’s ability to absorb iron.

The fetus is unable to detoxify caffeine.

Caffeine reduces blood flow through the placenta.

65
Q

PKU is

A

an error of metabolism in which the liver lacks the ability to process phenylalanine.

66
Q

Choose the nutrients that affect the quality of sperm from the father.

calcium and phosphorus

zinc and folate

antioxidants

omega-3 fatty acids

A

zinc and folate

antioxidants

omega-3 fatty acids