Chapter 11 Maternal Nutrition

Chapter 11   Maternal Nutrition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1) The prenatal clinic nurse is caring for a 15-year-old primiparous client at 8 weeks’ gestation. The client is 64 inches tall and weighs 115 pounds. The client asks the nurse why she is supposed to gain so much weight. What is the best response by the nurse?

1. “Gaining 25 to 35 pounds is recommended for healthy fetal growth.”
2. “It’s what your certified nurse-midwife recommended for you.”
3. “Inadequate weight gain delays lactation after delivery.”
4. “Weight gain is important to assure that you get enough vitamins.”

Answer:  3

Explanation:  1. For an appropriate weight woman, 25 to 35 pounds of weight gain is recommended for optimal fetal growth and development.

2. Although this statement might be true, the patient has asked a “why” question that should be directly answered.
3. Inadequate weight gain can lead to decreased fetal growth and development.
4. Vitamin intake is related to the types of food consumed, not to caloric intake. Because this patient is 15, her diet is probably not optimal, and her intake of empty calories or junk food might make up the majority of her calorie intake.

Page Ref: 201-202

Cognitive Level:  Application

Client Need&Sub:  Health Promotion and Maintenance

Standards:  QSEN Competencies: Patient-centered care | AACN Essential Competencies: Essential IX: Baccalaureate generalist nursing practice | NLN Competencies: Nursing judgement | Nursing/Integrated Concepts: Nursing Process: Planning/Coordination of care

Learning Outcome:  LO 11.1-Describe the recommended levels of weight gain during pregnancy when providing nursing care for pregnant women.

MNL LO:  Explore factors that influence a woman’s diet during pregnancy.

 

2) The nurse is preparing an antenatal nutrition class for pregnant women. Which material should be included in the teaching?

1. Dietary protein can only be obtained through consuming dairy, meat, and eggs.
2. During pregnancy, consumption of oily fish should be avoided.
3. Iron absorption is generally higher for vegetable products than for animal products.
4. Nutritional iodine requirements generally can be met through intake of iodized salt.

Answer:  4

Explanation:  1. Excluding dairy, meat, and eggs, adequate dietary protein can be obtained by consuming a varied diet with adequate caloric intake and plant-based proteins.

2. Oily fish provide the best source of docosahexaenoic acid (DHA), which may reduce the risk of preterm birth, preeclampsia, low birth weight, and enhance fetal and infant brain development.
3. Iron absorption is generally higher for animal products than for vegetable products.
4. Intake of iodized salt generally provides the recommended intake of iodine.

Page Ref: 204

Cognitive Level:  Understanding

Client Need&Sub:  Health Promotion and Maintenance

Standards:  QSEN Competencies: Patient-centered care | AACN Essential Competencies: Essential VII: Clinical prevention and population health | NLN Competencies: Nursing judgement | Nursing/Integrated Concepts: Nursing Process: Planning/Health teaching and health promotion

Learning Outcome:  LO 11.2-Explain the significance of specific nutrients in the diet of the pregnant woman.

MNL LO:  Recognize nutritional requirements specific to pregnancy.

 

 

3) The nurse is presenting a preconception counseling class. The nurse instructs the participants that niacin intake should increase during pregnancy to promote metabolic coenzyme activity. The nurse would know that teaching has been effective if a patient suggests which of the following foods as a source of niacin?

1. Fish
2. Apples
3. Broccoli
4. Milk

Answer:  1

Explanation:  1. Dietary sources of niacin include meats, fish, and enriched grains.

2. Apples will provide sources of other vitamins; however, they do not contain significant niacin.
3. Broccoli will provide sources of other vitamins; however, it does not contain significant niacin.
4. Milk will provide sources of other vitamins; however, it does not contain significant niacin.

Page Ref: 206

Cognitive Level:  Application

Client Need&Sub:  Physiological Integrity

Standards:  QSEN Competencies: Patient-centered care | AACN Essential Competencies: Essential VII: Clinical prevention and population health | NLN Competencies: Nursing judgement | Nursing/Integrated Concepts: Nursing Process: Evaluation/Health teaching and health promotion

Learning Outcome:  LO 11.2-Explain the significance of specific nutrients in the diet of the pregnant woman.

MNL LO:  Recognize nutritional requirements specific to pregnancy.

 

4) The nurse evaluates the diet of a pregnant client and finds that it is low in zinc. The nurse knows that zinc intake should increase during pregnancy to promote protein metabolism. Which of the following foods should the nurse suggest in order to increase intake of zinc?

1. Shellfish
2. Bananas
3. Yogurt
4. Cabbage

Answer:  1

Explanation:  1. Zinc is found in greatest concentration in meats and meat by-products. Enriched grains also tend to be high in zinc.

2. Bananas are high in other nutrients but do not have significant levels of zinc.
3. Yogurt is high in other nutrients but does not have significant levels of zinc.
4. Cabbage is high in other nutrients but does not have significant levels of zinc.

Page Ref: 204

Cognitive Level:  Application

Client Need&Sub:  Physiological Integrity

Standards:  QSEN Competencies: Patient-centered care | AACN Essential Competencies: Essential VII: Clinical prevention and population health | NLN Competencies: Nursing judgement | Nursing/Integrated Concepts: Nursing Process: Implementation/Health teaching and health promotion

Learning Outcome:  LO 11.2-Explain the significance of specific nutrients in the diet of the pregnant woman.

MNL LO:  Recognize nutritional requirements specific to pregnancy.