Chapter 10: Nutrition During Pregnancy and Lactation Flashcards
Discuss nutritional considerations during pregnancy that promote health and address complications.
The nurse knows the patient needs increased protein during pregnancy for which reasons?
-Growth of the fetus
-Synthesis of hemoglobin
-Formation of the placenta
-Production of amniotic fluid
What foods might the nurse recommend to a newly pregnant mother to increase her calcium intake?
-Green leafy vegetables
-Milk and milk products
Which actions can reduce pregnancy-associated nausea?
-Drink juice between meals
-Incorporate snacks during the day
Which statement is appropriate for the nurse to make to a teenage patient regarding weight gain during pregnancy?
-“Gaining weight is important to you and your baby.”
-“I arranged a Registered Dietitian Nutritionist consultation.”
-“Gaining too much weight is associated with maternal diabetes.”
The nurse determines that which pregnant patient may require more special nutritional consideration during pregnancy?
A 38-year-old mother with no other children
The nurse teaches the patient that which nutrient helps prevent neural tube defects such as spina bifida?
Folate
In which order do the steps of lactation occur?
-Baby suckles at the nipple
-Prolactin and oxytocin are released
-The let-down reflex occurs
-Milk is removed by the infant
-The breast produces more milk
What common obstacles may prevent a mother from continuing or starting to breastfeed?
-Engorged breasts
-Let-down production
-Too much effort involved
-Taking medication for illness
The nurse is teaching a group of mothers with 4-5 month-old infants about breastfeeding challenges after returning to work. The nurse advises mothers with which conditions to discontinue breastfeeding?
-Malaria infection
-Human Immunodeficiency Virus
A new mother is concerned that she is not making enough breast milk to feed her baby. Which suggestion from the nurse is appropriate?
-“Take some time for yourself to decompress.”
Which drinks are acceptable to include in the mother’s diet during lactation?
12 oz. of milk
A nurse is teaching a group of new mothers who are breastfeeding about My Plate. What should the nurse teach?
-“Soft drinks, especially colas, are not recommended.”
-“Drink a glass of milk or eat a cup of yogurt at each meal.”
-“Fluid intake is important so appropriate fluids, such as water or fruit juice, should be taken at each breastfeeding.”
-“Eat fruits, such as bananas or oranges, and vegetables, such as tomatoes and spinach, to cover half a plate at each meal.”
Which physiological and nutritional problems may cause a mother to stop breastfeeding?
-Painful nipples
-Inability for the infant to nurse
-Inability to produce enough milk to feed infant
Which statement is true regarding the protein needs of a lactating mother?
Protein supports the mother and the rapid growth of the infant
Which food provides a good source of vitamin A for the lactating mother?
1 small sweet potato
What is the daily recommended fluid intake for breastfeeding mothers?
3-4 L
What is the estimated increased calorie recommendations for the lactating mother in the first 6 months of lactation?
330 kcal/day
Which resource can assist lactating mothers in finding healthy meal options that meet their nutritional requirements?
-MyPlate
-La Leche League
-Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)
Which statement is correct regarding meeting nutritional needs during the second trimester without gaining excess weight?
“In the second trimester, you can meet additional kilocalorie needs by adding one snack a day, like a banana or yogurt.”
When attempting to meet the nutritional needs of diverse clients during pregnancy, what is the most important factor to consider?
Specific nutrients, not specific foods, are required for a successful pregnancy
Which helps meet some to the extra energy needs required by lactation in the postpartum mother?
Adipose tissue deposited in the mother during pregnancy
Which statement reflects an accurate understanding of sources of easily absorbed formed of folate?
“Enriched grain and flour products and fortified cereals are great sources of easily absorbed folate.”
Which range of the target weight gain for all pregnant women during the first trimester?
0.5-2.5 kg
Which vitamin should be supplemented at least 2 months before conception to help prevent neural tubal defects?
Folate
For up to how many months is breastfeeding recommended?
12
What is the most common cause of anemia in pregnancy?
Iron deficiency
Which guidance can be given to the pregnant client to help address heartburn associated with pregnancy?
-Eat several small meals a day
-Avoid eating large meals at once sitting
-Avoid lying down immediately after a meal
Which statement is most accurate concerning alcohol use during pregnancy?
“No safe level of alcohol use has been established for pregnant women.”
The nurse is interviewing a woman 4 months postpartum who has recently returned to her office job. She finds it challenging to stimulate her let-down reflex using a breast pump while away from her infant. The client explains that she expresses milk in a small office without a lock on the door and is always worried a coworker will come in. Which hormone is most likely being inhibited during the mothers pumping sessions?
Oxytocin
Which component of human milk most accounts for the breastfed infants improved immune system functioning?
Antibodies
Which part of the mother’s body receives a nerve impulse when the infant suckles at the breast?
Hypothalamus
Which hormone is responsible for the phenomenon of a breastfeeding mother’s milk leaking when she sees another infant?
Oxytocin
Due to uncertainties about the fetal effects of maternal consumption of caffeine, what maximum amount should the nurse recommend to newly pregnant clients to prevent possible complications such as first trimester spontaneous abortion?
300 mg/day
