Ch. 5: Nutrition During Pregnancy Flashcards

1
Q

Recommended weight gain in preg?

A

25-35 lbs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

General rule of weight gain for 1st tri? What about after first tri?

A

1st trimester: 2.2-4.4 lb during first tri

After first tri: 1 lb/week

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How much weight should underweight women be advised to gain?

A

28-40 lbs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How much weight should overweight women be advised to gain?

A

15-25 lbs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

An increase of ____ is recommended during 2nd trimester

A

340cal/day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

An increase of _____ is recommended during 3rd trimester

A

452cal/day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

If the client is breastfeeding during postpartum period, an additional intake of ____ is recommended during first 6 months and an additional intake of ____ is recommended during 2nd 6 months.

A

1st 6 months: 330cal/day

2nd 6 months: 400cal/day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are foods high in folic acid?

A
Leafy vegetables
Dried peas and beans
Seeds
OJ
Breads, cereals, grains
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How much folic acid should be taken during preg?

A

600 mcg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

When is iron best absorbed?

A

Between meals and when given with Vit C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What interferes with absorption of iron?

A

Milk and caffeine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are food sources of iron?

A
Beef liver
Red meats
Fish 
Poultry
Dried peas and beans
Fortified cereals and bread
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Sources of calcium?

A
Milk 
Calcium fortified soy milk
Fortified OJ
Nuts and legumes
Dark green leafy vegetables
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is daily recommendation of calcium for pregnant and non pregnant women over age of 19?

A

1000 mg/d

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is daily recommendation of calcium for those under 19?

A

1300 mg/d

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How much fluid should be consumed daily and what are the preferred fluids?

A

2-3L

Water, fruit juice, milk

17
Q

How much caffeine can be consumed when preg?

A

Limited to 300 mg/d

*The equivalent of 500-750 mL/d of coffee may increase risk of spontaneous abortion or IUGR

18
Q

Vegetarians have low _____ (5)

A
Protein 
Calcium
Iron
Zinc
Vit. B12
19
Q

How long does WIC care for mom and their children

A

WIC is a federally funded state program for preg women and their children (up to 5 years)

20
Q

What helps client with nausea?

A

Dry cracker or toast
Avoid alcohol, caffeine, fats, and spices
Avoid fluid with meals
DO NOT take med to control nausea without first checking with provider!!!

21
Q

What helps client with constipation?

A
Increase in fluid
Extra fiber (fruits, veg, whole grains)
22
Q

Maternal PKU is a maternal genetic disease in which high levels of phenylalanine pose a danger to the fetus. It is important for the client to resume the PKU diet for at least 3 months prior to pregnancy and continue the diet throughout the pregnancy. What does this diet include?

A
  • Foods low in phenylalanine

- Foods high in protein (fish, poultry, meat, eggs, nuts, dairy) MUST BE AVOIDED!!!!

23
Q

What should lactating woman nutritional plan include?

A
  • Increase protein and calories, but maintain well balanced diet
  • Increase oral fluids, but avoid alcohol and caffeine
  • Avoid substances that don’t agree with newborn (foods that may cause altered bowel function)
  • Take calcium supplements if she consumes inadequate amount of dietary calcium
24
Q

A nurse in a prenatal clinic is providing education to a client who is in the 8th week of gestation. The client states that she does not like milk. What is a good source of calcium that the nurse can recommend to the client?

A. Dark green, leafy veg
B. Deep red or orange veg
C. White breads and rice
D. Meat, poultry, and fish

A

A

25
Q

A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should the nurse be concerned about regarding weight gain?

A. 1.8 kg (4lb) weight gain in first trimester
B. 3.6 kg (8 lb) weight gain in first trimester
C. 6.8 kg (15lb) weight gain and is in her second trimester
D. 11.3 kg (25 lbs) weight gain and is in her third trimester

A

B

26
Q

A nurse in a clinic is teaching a client of childbearing age about recommended folic acid supplements. Which of the following defects can occur in the fetus or neonate as a result of folic acid deficiency?

A. Iron deficiency anemia
B. Poor bone formation
C. Macrosomic fetus
D. NTD

A

D

27
Q

A nurse is reviewing a new prescription for iron supplements with a client who is in the 8th week of gestation and has iron deficiency anemia. The nurse should advise the client to take the iron supplement with which of the following?

A. Ice water
B. Low fat or whole milk
C. Tea or coffee
D. OJ

A

D

28
Q

A nurse is reviewing postpartum nutrition with a group of new mothers who are breastfeeding their newborns. Which of the following statements by a member of the group requires clarification?

A. I am glad I can have my morning coffee
B. I know that certain foods that I eat will affect my baby
C. I will continue adding 330 calories per day to my diet
D. I will continue my calcium supplements because I don’t like milk.

A

A