Chapter 10: Nutrition Across The Life Span

Chapter 10: Nutrition Across The Life Span

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A pregnant client complains of constipation during pregnancy. This is probably caused by

a.	inadequate intakes of dietary fiber and fluids.
b.	reduced activity levels as body size increases.
c.	increased levels of the hormone estrogen.
d.	increased levels of the hormone progesterone.

 

 

ANS:  D

During pregnancy, increased progesterone levels cause relaxation of smooth muscle, which slows intestinal transit and may cause constipation. Estrogen levels also increase but do not cause constipation. Increases in fiber and fluid intake may help relieve constipation, but low intake is not the primary cause during pregnancy. Similarly, reduced levels of physical activity may exacerbate constipation but are not the primary cause.

 

DIF:    Cognitive Level: Applying               REF:   Pages 188-189 | Page 198

TOP:   Nursing Process: Assessment           MSC:  Client Needs: Physiological integrity

 

2. If a woman has had preeclampsia and hypertension in a previous pregnancy, then during this pregnancy she should

a.	restrict her sodium intake.
b.	continue her regular sodium intake.
c.	restrict her protein intake.
d.	take iron and calcium supplements.

 

 

ANS:  B

It is dangerous to restrict sodium intake during pregnancy; sodium restriction can reduce plasma volume and cardiac output. Therefore, a woman with preeclampsia and hypertension should continue her regular sodium intake. She should follow a well-balanced diet, including plenty of protein to replace urinary losses, and receive adequate vitamins and minerals. She should not restrict protein intake, and iron and calcium supplements are not generally recommended.

 

DIF:    Cognitive Level: Applying               REF:   Page 189 | Pages 195-196

TOP:   Nursing Process: Planning               MSC:  Client Needs: Physiological integrity

 

3. For a woman with a healthy prepregnancy weight, gaining a total of 31 pounds throughout pregnancy would be considered

a.	too low for a healthy pregnancy.
b.	too high for a healthy pregnancy.
c.	within the current recommended range for weight gain.
d.	within the current recommended range for weight gain for a woman experiencing gestational diabetes.

 

 

ANS:  C

The recommended range of weight gain by a woman with a healthy weight before pregnancy is 25 to 35 pounds. Weight gain recommendations for women with gestational diabetes are the same as those for women without this condition and are based on prepregnancy weight.

 

DIF:    Cognitive Level: Applying               REF:   Pages 189-190

TOP:   Nursing Process: Assessment| Nursing Process: Planning

MSC:  Client Needs: Health promotion and maintenance

 

4. If an obese woman is 6 months pregnant and has gained about 8 lbs so far, her health care provider should recommend that she

a.	try to maintain her current weight throughout the rest of her pregnancy.
b.	continue to gain weight at about the same rate throughout the pregnancy.
c.	increase her weight gain to achieve weight gain in the recommended range.
d.	plan food choices carefully and gradually lose weight during pregnancy.

 

 

ANS:  B

For an obese woman, the recommended amount of weight gain in the second and third trimesters of pregnancy is 11 to 20 lb. When 6 months pregnant, the woman is at the end of the second trimester and so should have gained about half of this amount, 5.5 to 10 lbs. Her 8-lb weight gain is within this range, and so she should continue to gain weight at about the same rate throughout her pregnancy. It is unsafe to attempt to lose weight during pregnancy, and even maintaining her current weight may indicate that she is ingesting insufficient nutrients to support a healthy pregnancy.

 

DIF:    Cognitive Level: Applying               REF:   Pages 189-192

TOP:   Nursing Process: Assessment| Nursing Process: Planning

MSC:  Client Needs: Health promotion and maintenance