Chapter 16 Maternal Nutrition

Chapter 16   Maternal Nutrition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1) A pregnant teenage client is diagnosed with iron-deficiency anemia. Which nutrient should the nurse encourage her to take to increase iron absorption?

1. Vitamin A
2. Vitamin C
3. Vitamin D
4. Vitamin E

Answer:  2

Explanation:  2. Vitamin C is known to enhance the absorption of iron from meat and nonmeat sources.

Page Ref: 329

Cognitive Level:  Understanding

Client Need/Sub:  Physiological Integrity: Physiological Adaptation

Standards:  QSEN Competencies: I. A. 1. Integrate understanding of multiple dimensions of patient-centered care. | AACN Essentials Competencies: IX. 3. Implement holistic patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan and in all healthcare settings. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:  7 Describe basic factors a nurse should consider when offering nutritional counseling to a pregnant adolescent.

MNL LO:  2.4.4 Evaluate the nutritional needs of the pregnant adolescent.

 

 

2) The pregnant client cannot tolerate milk or meat. What would the nurse recommend to the client to assist in meeting protein needs?

1. Wheat bread and pasta
2. Ice cream and peanut butter
3. Eggs and tofu
4. Beans and potatoes

Answer:  3

Explanation:  3. The best food choices that are nondairy and complete proteins alone are eggs and tofu.

Page Ref: 327, 328

Cognitive Level:  Applying

Client Need/Sub:  Physiological Integrity: Physiological Adaptation

Standards:  QSEN Competencies: I. A. 1. Integrate understanding of multiple dimensions of patient-centered care. | AACN Essentials Competencies: IX. 3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all health care settings. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome:  2 Explain the significance of specific nutrients in the diet of the pregnant woman.

MNL LO:  2.5.2 Explore factors that influence a woman’s diet during pregnancy.

 

3) The pregnant client states she does not want “to take all these supplements.” What recommendations could the nurse make for the client?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Select all that apply.

1. “Folic acid has been found to be essential for minimizing the risk of neural tube defects.”
2. “You do not have to take these supplements if you think you are healthy enough.”
3. “Most women do not have adequate intake of iron pre-pregnancy, and iron needs increase with pregnancy.”
4. “These medications do the same thing. I will call your physician to cancel one of your medications.”
5. “You should take the folic acid, but the vitamins are not that important.”

Answer:  1, 3

Explanation:  1. An inadequate intake of folic acid has been associated with neural tube defects (NTDs) (e.g., spina bifida, anencephaly).

3. Iron is essential because many pregnant women do not have adequate intake of iron before pregnancy.

Page Ref: 331, 329

Cognitive Level:  Applying

Client Need/Sub:  Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care

Standards:  QSEN Competencies: I. B. 10. Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management. | AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:  2 Explain the significance of specific nutrients in the diet of the pregnant woman.

MNL LO:  2.5.1 Recognize nutritional requirements specific to pregnancy.

 

4) The nurse is planning an early-pregnancy class session on nutrition. Which information should the nurse include?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Select all that apply.

1. Protein is important for fetal development.
2. Iron helps both mother and baby maintain the oxygen-carrying capacity of the blood.
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.

Answer:  1, 2, 4, 5

Explanation:  1. During pregnancy, the woman needs increased amounts of protein to provide amino acids for fetal development.

2. Iron deficiency anemia is associated with an increased incidence of preterm birth, low-birth-weight infants, and maternal and infant mortality.
3. Zinc is involved in RNA and DNA synthesis, and milk production during lactation.
4. Vitamin A promotes healthy formation and development of the fetal eyes.

Page Ref: 327, 329, 330

Cognitive Level:  Understanding

Client Need/Sub:  Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care

Standards:  QSEN Competencies: I. B. 10. Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management. | AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:  2 Explain the significance of specific nutrients in the diet of the pregnant woman.

MNL LO:  2.5.1 Recognize nutritional requirements specific to pregnancy.

 

 

5) 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 will know that teaching has been effective if a client suggests which food 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 whole grains.

Page Ref: 331

Cognitive Level:  Applying

Client Need/Sub:  Physiological Integrity: Basic Care and Comfort

Standards:  QSEN Competencies: I. B. 10. Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management. | AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome:  2 Explain the significance of specific nutrients in the diet of the pregnant woman.

MNL LO:  2.5.1 Recognize nutritional requirements specific to pregnancy.