Chapter 12 Contemporary Maternal Newborn Nursing 7th Edition by Patricia W. Ladewig

Chapter 12 Contemporary Maternal Newborn Nursing 7th Edition by Patricia W. Ladewig

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Chapter 12_LO01_Q01

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 25–35 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.”

Correct Answer: 1Rationale:

1. For an appropriate weight woman, 25–35 pounds of weight gain is recommended for optimal fetal growth and development.
2. Although this statement might be true, the client 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 client 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.

Cognitive level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Planning

Learning Outcome: 12.1 Describe the recommended levels of weight gain during pregnancy when providing nursing caring for pregnant women.

Chapter 12_LO02 _Q02

The nurse is planning an early pregnancy class session on nutrition. Which idea should the nurse include? Select all that apply.

1. Protein is important for developing the baby’s muscles.
2. Iron helps both mother and baby form red blood cells.
3. Calcium prevents constipation at the end of pregnancy.
4. Zinc facilitates synthesis of RNA and DNA.
5. Vitamin A promotes development of the baby’s eyes.

Correct Answers:  1, 2, 4, 5

Rationale:

1. Protein is necessary to form the muscles of the fetus and to increase the tissues of the growing uterus and breasts of the mother.
2. This is a true statement. Poor iron intake can lead to maternal or fetal anemia.
3. Calcium is not related to constipation. Calcium is needed to form and calcify the fetal bones. If calcium intake is low, the mother’s bones will demineralize to meet the needs of the fetus.
4. Zinc is involved in RNA and DNA synthesis, and milk production during lactation.
5. Vitamin A promotes healthy formation and development of the fetal eyes.

Cognitive level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Planning

Learning Outcome: 12.2 Explain the significance of specific nutrients in the diet of the pregnant woman.

Chapter 12_LO02 _Q03

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 client suggests which of the following foods as a source of niacin?

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

Answer: 1

Rationale:

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.

Cognitive Level: Application

Category of Client Need: Physiological Integrity

Nursing Process: Evaluation

Learning Outcome 12.2 Explain the significance of specific nutrients in the diet of the pregnant woman.

Chapter 12_LO02 _Q04

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

Rationale:

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.

Cognitive Level: Application

Category of Client Need: Physiological Integrity

Nursing Process: Implementation

Learning Outcome 12.2 Explain the significance of specific nutrients in the diet of the pregnant woman.