Chapter 11 Flashcards
A 15-year-old primipara at 8 weeks’ gestation who is 64 inches tall and weighs 115 pounds asks why she is supposed to gain so much weight. What is the best response by the nurse?
“Gaining 25 to 35 pounds is recommended for healthy fetal growth.”
The nurse is preparing an antenatal nutrition class for pregnant women. Which material should be included in the teaching?
Nutritional iodine requirements generally can be met through intake of iodized salt.
The nurse instructs on the importance of niacin during a preconception counseling class. Which food item selected by a participant indicates that teaching about the sources of niacin has been effective?
Fish
It has been identified that a pregnant client’s diet is low in zinc. Which food should the nurse suggest to increase intake of this mineral?
Shellfish
The nurse is providing nutritional counseling for a postpartum client with a hemoglobin of 8. Which statement indicates that additional teaching is necessary?
“If I drink lots of milk, I will increase my iron level faster.”
The nurse reviews nutritional requirements with a breastfeeding mother who is concerned that her milk production has decreased. Which statement indicates that further teaching is required?
“I have started cutting back on my protein intake.”
The nurse is conducting a postpartum visit to a client who is formula-feeding her infant. Which client statement indicates that teaching about weight maintenance has been effective?
“My dietician has set my weight loss goal at 1 to 2 pounds per week.”
The nurse is planning an educational session for pregnant clients who are vegans. What information should the nurse include?
Eating beans and rice provides complete protein needs.
A pregnant client who is a lacto-ovo vegetarian asks for help planning a diet that includes adequate protein intake. What instruction should the nurse give?
“In addition to eggs and dairy products, beans, peanut butter, and soy milk can be effective sources of plant-based proteins.”
Which client statement on cultural or religious influences on nutrition requires intervention?
“My auntie sent me clay from the south to eat every day.”
A pregnant 14-year-old client confides having problems with bulimia nervosa. Which nursing observation best supports the client’s statement?
The client is of normal weight for her height and reports binge eating followed by purging.
When preparing nutritional instruction, which pregnant client should the nurse consider the highest priority?
15-year-old nulligravida
Which statement is best to include when teaching a pregnant adolescent about nutritional needs?
“It is important eat iron-rich foods like meat every day.”
Being aware that several pregnant students have been diagnosed with iron-deficiency anemia, the school nurse plans a class about nutrition for pregnant teens. What should the nurse encourage the teens to consume to increase iron absorption?
Orange juice
The nurse is caring for a pregnant teen. What should the nurse do to accurately assess the teen’s nutritional intake?
Ask to complete a dietary recall to identify eating patterns.
The nurse is leading a session on nutrition for postpartum clients. Which statement indicates that teaching has been effective?
“Breastfeeding requires that I eat lots of protein daily.”
The nurse is preparing a prenatal class about infant feeding methods to include maternal nutritional requirements for breastfeeding and formula-feeding. What statement should the nurse include?
“Breastfeeding requires a continued high intake of protein and calcium.”
The nurse is preparing a teaching guide to be used for prenatal, pregnancy, and postpartum nutritional classes. Which nutrients should the nurse emphasize that remain consistent throughout these gestational periods? Select all that apply.
- Fat
- Iron
- Protein
- Vitamin K
- Pyridoxine
1,4
The nurse is instructing a newly pregnant client who follows a vegan eating plan about folic acid. What should the nurse include when teaching the client about this nutrient? Select all that apply.
- The best sources are fresh green leafy vegetables.
- Overcooking foods high in folic acid is preferred.
- Foods high in folic acid should be protected from light.
- Cook foods high in folic acid with small amounts of water.
- Peanuts and whole-grain breads and cereals are good sources.
1,3,4,5
) A pregnant client is reviewing the tentative buffet menu for her upcoming baby shower. Which items should the nurse suggest be substituted to ensure the health of the client and developing fetus? Select all that apply.
- Baked brie with crackers
- Greek salad with feta cheese
- Caesar salad with sourdough croutons
- Salmon pate with toasted bread rounds
- Grilled orange roughy with summer vegetables
1,2,3,4
