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.
