Nutrition Through the Life Cycle 6th Edition By Judith E. Brown - Test Bank

Nutrition Through the Life Cycle 6th Edition By Judith E. Brown - Test Bank   Instant Download - Complete Test Bank With Answers     Sample Questions Are Posted Below   True / False   1. ​The effects of gestational hypertension on the course and outcome of pregnancy are often benign.   a. True   b. …

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Nutrition Through the Life Cycle 6th Edition By Judith E. Brown – Test Bank

 

Instant Download – Complete Test Bank With Answers

 

 

Sample Questions Are Posted Below

 

True / False

 

1. ​The effects of gestational hypertension on the course and outcome of pregnancy are often benign.

  a. True
  b. False

 

ANSWER:   True
REFERENCES:   Hypertensive Disorders of Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.2 – Distinguish the different types of hypertensive disorders that occur during pregnancy, and connect two components of nutrition care recommended for women with each type.
KEYWORDS:   Remember

 

2. The risk for developing preeclampsia is higher in women who were born large for gestational age.

  a. True
  b. False

 

ANSWER:   False
REFERENCES:   Hypertensive Disorders of Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.2 – Distinguish the different types of hypertensive disorders that occur during pregnancy, and connect two components of nutrition care recommended for women with each type.
KEYWORDS:   Remember

 

3. Children born to calcium-supplemented women have been found to have lower blood pressure than children whose mothers were not supplemented.

  a. True
  b. False

 

ANSWER:   True
REFERENCES:   Hypertensive Disorders of Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.2 – Distinguish the different types of hypertensive disorders that occur during pregnancy, and connect two components of nutrition care recommended for women with each type.
KEYWORDS:   Remember

 

4. Routine salt restriction is advised to lower the risk of preeclampsia.

  a. True
  b. False

 

ANSWER:   False
REFERENCES:   Hypertensive Disorders of Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.2 – Distinguish the different types of hypertensive disorders that occur during pregnancy, and connect two components of nutrition care recommended for women with each type.
KEYWORDS:   Remember

 

5. ​Signs, symptoms, severity, and causes of preeclampsia vary from woman to woman.

  a. True
  b. False

 

ANSWER:   True
REFERENCES:   Hypertensive Disorders of Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.2 – Distinguish the different types of hypertensive disorders that occur during pregnancy, and connect two components of nutrition care recommended for women with each type.
KEYWORDS:   Remember

 

6. Gestational diabetes appears to be caused by a woman’s intake of sugar.

  a. True
  b. False

 

ANSWER:   False
REFERENCES:   Diabetes in Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.3 – Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional management of each type.
KEYWORDS:   Remember

 

7. Research indicates that 75% of women with gestational diabetes in a previous pregnancy will develop it in a subsequent pregnancy.

  a. True
  b. False

 

ANSWER:   False
REFERENCES:   Diabetes in Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.3 – Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional management of each type.
KEYWORDS:   Remember

 

8. Because of higher needs, women with multifetal pregnancies should take nutrient supplements exceeding the Tolerable Upper Intake Levels.

  a. True
  b. False

 

ANSWER:   False
REFERENCES:   Multifetal Pregnancies
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.4 – Explain three differences in nutrient needs and cite two specific considerations for delivery of effective nutritional care for women with multifetal pregnancy.
KEYWORDS:   Remember

 

9. Twins at the highest risk of death and malformations have separate amniotic sacs but share the same placenta.

  a. True
  b. False

 

ANSWER:   False
REFERENCES:   Multifetal Pregnancies
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.4 – Explain three differences in nutrient needs and cite two specific considerations for delivery of effective nutritional care for women with multifetal pregnancy.
KEYWORDS:   Remember

 

10. Rates of dizygotic twins vary among racial groups and by country.

  a. True
  b. False

 

ANSWER:   True
REFERENCES:   Multifetal Pregnancies
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.4 – Explain three differences in nutrient needs and cite two specific considerations for delivery of effective nutritional care for women with multifetal pregnancy.
KEYWORDS:   Remember

 

Multiple Choice

 

11. An unfavorable metabolic change associated with excessive body fat is _____.​

  a. ​decreased blood glucose levels
  b. ​decreased blood concentration of insulin
  c. ​insulin resistance
  d. ​high levels of HDL cholesterol
  e. ​low levels of LDL cholesterol

 

ANSWER:   c
REFERENCES:   Obesity and Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.1 – Cite three specific examples of nutrition-related recommendations intended for women who enter pregnancy obese.
KEYWORDS:   Remember

 

12. ​Obesity increases the risk of _____.

  a. ​gestational diabetes only
  b. ​hypertension during pregnancy only
  c. ​anemia
  d. ​gestational diabetes and hypertension during pregnancy
  e. ​gestational diabetes, hypertension during pregnancy, and anemia

 

ANSWER:   d
REFERENCES:   Obesity and Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.1 – Cite three specific examples of nutrition-related recommendations intended for women who enter pregnancy obese.
KEYWORDS:   Remember

 

13. ​Women who enter pregnancy obese are more likely to gain _____ during pregnancy compared with normal weight women.

  a. ​too much weight
  b. ​too little weight
  c. ​weight too slowly
  d. ​weight too quickly
  e. ​no weight

 

ANSWER:   a
REFERENCES:   Obesity and Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.1 – Cite three specific examples of nutrition-related recommendations intended for women who enter pregnancy obese.
KEYWORDS:   Understand

 

14. ​Weight loss by obese women during pregnancy _____.

  a. ​is recommended
  b. ​increases the risk of large-for-gestation-age infants
  c. ​lengthens the duration of pregnancy
  d. ​increases the risk of small-for-gestation-age infants
  e. ​has no impact on pregnancy outcomes

 

ANSWER:   d
REFERENCES:   Obesity and Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.1 – Cite three specific examples of nutrition-related recommendations intended for women who enter pregnancy obese.
KEYWORDS:   Understand

 

15. ​Dumping syndrome is a condition characterized by the abnormally rapid emptying of the stomach and is seen in women who _____.

  a. ​have gestational diabetes
  b. ​are at risk for preeclampsia
  c. ​have undergone bariatric surgery
  d. ​drink more than 4 alcoholic beverages per day
  e. ​are carrying triplets

 

ANSWER:   c
REFERENCES:   Obesity and Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.1 – Cite three specific examples of nutrition-related recommendations intended for women who enter pregnancy obese.
KEYWORDS:   Remember

 

16. ​Hypertension is defined as having a blood pressure of ≥ _____ mm Hg systolic or ≥ _____ mm Hg diastolic blood pressure.

  a. ​120; 70
  b. ​140; 90
  c. ​120; 90
  d. ​140; 70
  e. ​160; 110

 

ANSWER:   b
REFERENCES:   Hypertensive Disorders of Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.2 – Distinguish the different types of hypertensive disorders that occur during pregnancy, and connect two components of nutrition care recommended for women with each type.
KEYWORDS:   Remember

 

17. ​A worldwide leading cause of maternal mortality is _____.

  a. ​gestational diabetes
  b. ​a hypertensive disorder of pregnancy
  c. ​AIDS/HIV
  d. ​multifetal pregnancy
  e. ​an adolescent pregnancy complication

 

ANSWER:   a
REFERENCES:   Hypertensive Disorders of Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.2 – Distinguish the different types of hypertensive disorders that occur during pregnancy, and connect two components of nutrition care recommended for women with each type.
KEYWORDS:   Remember

 

18. ​The urinary excretion of ≥ 0.3 g of protein in a 24-hour urine specimen defines _____.

  a. ​gestational diabetes
  b. ​hypertension
  c. ​proteinuria
  d. ​preeclampsia
  e. ​dumping syndrome

 

ANSWER:   c
REFERENCES:   Hypertensive Disorders of Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.2 – Distinguish the different types of hypertensive disorders that occur during pregnancy, and connect two components of nutrition care recommended for women with each type.
KEYWORDS:   Remember

 

19. ​Which symptom is least likely to be associated with preeclampsia-eclampsia?

  a. ​blood vessel spasms and constriction
  b. ​increased calcium excretion
  c. ​oxidative stress and inflammation
  d. ​platelet aggregation and blood coagulation
  e. ​insulin resistance

 

ANSWER:   b
REFERENCES:   Hypertensive Disorders of Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.2 – Distinguish the different types of hypertensive disorders that occur during pregnancy, and connect two components of nutrition care recommended for women with each type.
KEYWORDS:   Remember

 

20. ​Organs most affected by small blood clots and reduced blood flow due to preeclampsia include the _____.

  a. ​pancreas
  b. ​lungs
  c. ​heart
  d. ​liver
  e. ​appendix

 

ANSWER:   d
REFERENCES:   Hypertensive Disorders of Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.2 – Distinguish the different types of hypertensive disorders that occur during pregnancy, and connect two components of nutrition care recommended for women with each type.
KEYWORDS:   Remember

 

21. ​Ideally, when should dietary intervention for preeclampsia begin?

  a. ​prior to pregnancy
  b. ​prior to infant delivery
  c. ​prior to the 20th week of pregnancy
  d. ​after the 20th week of pregnancy
  e. ​after childbirth

 

ANSWER:   a
REFERENCES:   Hypertensive Disorders of Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.2 – Distinguish the different types of hypertensive disorders that occur during pregnancy, and connect two components of nutrition care recommended for women with each type.
KEYWORDS:   Remember

 

22. ​Which nutritional or physical activity recommendation is least likely to benefit women at risk for preeclampsia?

  a. ​high-dosage iron supplements
  b. ​5 or more servings of fruits and vegetables daily
  c. ​moderate exercise
  d. ​adequate fiber intake
  e. ​adequate vitamin D

 

ANSWER:   a
REFERENCES:   Hypertensive Disorders of Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.2 – Distinguish the different types of hypertensive disorders that occur during pregnancy, and connect two components of nutrition care recommended for women with each type.
KEYWORDS:   Remember

 

23. ​Which nutrients appear to reduce or prevent preeclampsia?

  a. ​calcium and magnesium
  b. ​calcium and folic acid
  c. ​calcium and vitamin D
  d. ​fish oils and vitamin E
  e. ​vitamins C and E

 

ANSWER:   c
REFERENCES:   Hypertensive Disorders of Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.2 – Distinguish the different types of hypertensive disorders that occur during pregnancy, and connect two components of nutrition care recommended for women with each type.
KEYWORDS:   Remember

 

24. ​Diets characterized by a high intake of _____ have been linked to a decreased risk of preeclampsia.

  a. ​protein-containing foods
  b. ​plant foods
  c. ​salty foods
  d. ​sweet or sugary foods
  e. ​processed foods

 

ANSWER:   b
REFERENCES:   Hypertensive Disorders of Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.2 – Distinguish the different types of hypertensive disorders that occur during pregnancy, and connect two components of nutrition care recommended for women with each type.
KEYWORDS:   Remember

 

25. ​How many minutes of physical activity are recommended daily for women at risk of preeclampsia?

  a. ​15
  b. ​30
  c. ​60
  d. ​90
  e. ​Exercise is not recommended.

 

ANSWER:   b
REFERENCES:   Hypertensive Disorders of Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.2 – Distinguish the different types of hypertensive disorders that occur during pregnancy, and connect two components of nutrition care recommended for women with each type.
KEYWORDS:   Remember

 

26. All forms of hypertension in pregnancy are related to _____.​

  a. ​chronic inflammation only
  b. ​oxidative stress only
  c. ​damage to the endothelium of blood vessels only
  d. ​chronic inflammation and oxidative stress only
  e. ​chronic inflammation, oxidative stress, and damage to the endothelium of blood vessels

 

ANSWER:   e
REFERENCES:   Hypertensive Disorders of Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.2 – Distinguish the different types of hypertensive disorders that occur during pregnancy, and connect two components of nutrition care recommended for women with each type.
KEYWORDS:   Remember

 

27. ​Oxidative stress occurs when cells are exposed to more _____ molecules than _____ molecules.

  a. ​lipid; protein
  b. ​antioxidant; protein
  c. ​oxidizing; lipid
  d. ​oxidizing; antioxidant
  e. ​antioxidant; oxidizing

 

ANSWER:   d
REFERENCES:   Hypertensive Disorders of Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.2 – Distinguish the different types of hypertensive disorders that occur during pregnancy, and connect two components of nutrition care recommended for women with each type.
KEYWORDS:   Remember

 

28. ​Chronic hypertension _____.

  a. ​occurs more often in non-Hispanic Black Americans than Caucasian Americans
  b. ​is decreasing in incidence due to better medical prevention methods
  c. ​is less common in women of older childbearing age
  d. ​is usually treated with the same prescriptions in pregnant and non-pregnant women
  e. ​increases the rate of fetal growth

 

ANSWER:   a
REFERENCES:   Hypertensive Disorders of Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.2 – Distinguish the different types of hypertensive disorders that occur during pregnancy, and connect two components of nutrition care recommended for women with each type.
KEYWORDS:   Understand

 

29. ​Chronic inflammation and oxidative stress are decreased by _____.

  a. ​high levels of body fat
  b. ​frequent intake of processed meats
  c. ​smoking
  d. ​physical inactivity
  e. ​vitamin D sufficiency

 

ANSWER:   e
REFERENCES:   Hypertensive Disorders of Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.2 – Distinguish the different types of hypertensive disorders that occur during pregnancy, and connect two components of nutrition care recommended for women with each type.
KEYWORDS:   Understand

 

30. ​Insulin resistance and requirement _____ as pregnancy progresses.

  a. ​both increase
  b. ​both decrease
  c. ​both remain unchanged
  d. ​increase and decrease, respectively
  e. ​decrease and increase, respectively

 

ANSWER:   a
REFERENCES:   Diabetes in Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.3 – Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional management of each type.
KEYWORDS:   Understand

 

31. ​The majority (88%) of all cases of diabetes in pregnancy are _____.

  a. ​type 1 diabetes
  b. ​preeclampsia
  c. ​gestational diabetes
  d. ​gestational hypertension
  e. ​type 2 diabetes

 

ANSWER:   c
REFERENCES:   Diabetes in Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.3 – Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional management of each type.
KEYWORDS:   Remember

 

32. ​Maintenance of normal blood glucose levels during pregnancy requires sufficient insulin production by _____ cells of the _____.

  a. ​alpha; pancreas
  b. ​beta; pancreas
  c. ​gamma; pancreas
  d. ​alpha; thyroid
  e. ​beta; thyroid

 

ANSWER:   b
REFERENCES:   Diabetes in Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.3 – Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional management of each type.
KEYWORDS:   Remember

 

33. ​About _____% of women with gestational diabetes will develop type 2 diabetes within 2-5 years.

  a. ​10-15
  b. ​20-25
  c. ​30-40
  d. ​50-60
  e. ​75

 

ANSWER:   a
REFERENCES:   Diabetes in Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.3 – Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional management of each type.
KEYWORDS:   Remember

 

34. ​According to the American Diabetes Association, when should pregnant women without diabetes have their blood glucose tested?

  a. ​between 24-28 weeks of gestation
  b. ​after the first trimester
  c. ​between 6-8 weeks of gestation
  d. ​at 17 weeks of gestation
  e. ​Pregnant women without diabetes do not need to be screened.

 

ANSWER:   a
REFERENCES:   Diabetes in Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.3 – Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional management of each type.
KEYWORDS:   Remember

 

35. ​Elevation of ketone levels can occur if calorie intakes are decreased to less than _____.

  a. ​1500 calories daily
  b. ​1800 calories daily
  c. ​2000 calories daily
  d. ​20% below calorie needs
  e. ​25% below calorie needs

 

ANSWER:   a
REFERENCES:   Diabetes in Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.3 – Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional management of each type.
KEYWORDS:   Remember

 

36. ​The mainstay of treatment for gestational diabetes aimed at normalizing blood glucose levels is(are) _____.

  a. ​oral medications
  b. ​insulin injections or an insulin pump
  c. ​a low-calorie, high-protein diet
  d. ​medical nutrition therapy focusing on diet and exercise
  e. ​a very low calorie intake

 

ANSWER:   d
REFERENCES:   Diabetes in Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.3 – Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional management of each type.
KEYWORDS:   Understand

 

37. ​Which type of diabetes is potentially the most hazardous to the mother and fetus?

  a. ​type 1 diabetes
  b. ​type 2 diabetes
  c. ​gestational diabetes
  d. ​They are all equally hazardous.
  e. ​None are hazardous to both the mother and fetus.

 

ANSWER:   a
REFERENCES:   Diabetes in Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.3 – Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional management of each type.
KEYWORDS:   Remember

 

38. ​Metformin, the only type of oral medication used to treat gestational diabetes, is useful because it _____.

  a. ​increases glucose production
  b. ​stimulates insulin secretion
  c. ​increases insulin resistance
  d. ​improves insulin sensitivity
  e. ​stimulates ketone production

 

ANSWER:   d
REFERENCES:   Diabetes in Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.3 – Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional management of each type.
KEYWORDS:   Understand

 

39. ​The primary outcome goal for pregnant women with type 2 diabetes is to _____.

  a. ​maintain blood glucose levels within normal range
  b. ​prevent the development of diabetes later in life
  c. ​prevent excessive weight gain
  d. ​maintain normal blood pressure
  e. ​avoid the use of insulin during pregnancy

 

ANSWER:   a
REFERENCES:   Diabetes in Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.3 – Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional management of each type.
KEYWORDS:   Understand

 

40. ​It is common for women with gestational diabetes to consume _____ % of calories from carbohydrates during pregnancy.

  a. 65​
  b. ​50
  c. ​45
  d. ​25
  e. ​60

 

ANSWER:   c
REFERENCES:   Diabetes in Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.3 – Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional management of each type.
KEYWORDS:   Remember

 

41. ​Assessment of urinary _____ levels is sometimes used in practice to estimate the adequacy of calories and carbohydrate intake.

  a. ​insulin
  b. ​glucose
  c. ​sugar
  d. ​ketone
  e. ​potassium

 

ANSWER:   d
REFERENCES:   Diabetes in Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.3 – Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional management of each type.
KEYWORDS:   Apply

 

42. ​With respect to management of type 1 diabetes, an artificial _____ has been developed and may become available for use in the future?

  a. ​bladder
  b. ​pancreas
  c. ​liver
  d. ​kidney
  e. ​lung

 

ANSWER:   b
REFERENCES:   Diabetes in Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.3 – Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional management of each type.
KEYWORDS:   Apply

 

43. The vanishing twin phenomenon refers to _____.​

  a. ​more triplets and quadruplets being born than twins due to fertility drugs
  b. ​the disappearance of embryos within 13 weeks of conception
  c. ​the decreasing percentage of dizygotic twins in favor of monozygotic twins
  d. ​the emergence of an additional fetus in a pregnancy that began with only two fetuses
  e. the decreasing percentage of twins in favor of single-child births due to in vitro fertilization techniques

 

ANSWER:   b
REFERENCES:   Multifetal Pregnancies
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.4 – Explain three differences in nutrient needs and cite two specific considerations for delivery of effective nutritional care for women with multifetal pregnancy.
KEYWORDS:   Understand

 

44. ​Which type of multifetal pregnancy is most common?

  a. ​twins
  b. ​triplets
  c. ​quadruplets
  d. ​quintuplets
  e. ​heptuplets

 

ANSWER:   a
REFERENCES:   Multifetal Pregnancies
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.4 – Explain three differences in nutrient needs and cite two specific considerations for delivery of effective nutritional care for women with multifetal pregnancy.
KEYWORDS:   Remember

 

45. ​The majority of twins born are _____.

  a. ​dizygotic
  b. ​monozygotic
  c. ​trizygotic
  d. ​identical
  e. ​dizygotic and identical

 

ANSWER:   a
REFERENCES:   Multifetal Pregnancies
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.4 – Explain three differences in nutrient needs and cite two specific considerations for delivery of effective nutritional care for women with multifetal pregnancy.
KEYWORDS:   Remember

 

46. ​Monozygotic twins are _____, while dizygotic twins are _____.

  a. ​always the same sex; always different sexes
  b. ​the same sex 50% of the time; always the same sex
  c. ​always the same sex; the same sex 50% of the time
  d. ​always different sexes; always the same sex
  e. ​the same sex 50% of the time; always different sexes

 

ANSWER:   c
REFERENCES:   Multifetal Pregnancies
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.4 – Explain three differences in nutrient needs and cite two specific considerations for delivery of effective nutritional care for women with multifetal pregnancy.
KEYWORDS:   Understand

 

47. ​The mean birthweight of newborns from a twin pregnancy is _____ grams.

  a. ​1800
  b. ​2000
  c. ​2400
  d. ​2600
  e. ​2800

 

ANSWER:   c
REFERENCES:   Multifetal Pregnancies
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.4 – Explain three differences in nutrient needs and cite two specific considerations for delivery of effective nutritional care for women with multifetal pregnancy.
KEYWORDS:   Remember

 

48. ​A multifetal pregnancy is least likely to increase the mother’s risk for _____.

  a. ​preeclampsia
  b. ​iron-deficiency anemia
  c. ​preterm delivery
  d. ​Cesarean delivery
  e. ​maternal mortality

 

ANSWER:   e
REFERENCES:   Multifetal Pregnancies
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.4 – Explain three differences in nutrient needs and cite two specific considerations for delivery of effective nutritional care for women with multifetal pregnancy.
KEYWORDS:   Remember

 

49. ​Several studies on weight gain and birth weight have shown that a weight gain of approximately _____ pounds corresponds to healthy-sized triplets.

  a. 25​
  b. ​30
  c. ​40
  d. ​50
  e. ​60

 

ANSWER:   d
REFERENCES:   Multifetal Pregnancies
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.4 – Explain three differences in nutrient needs and cite two specific considerations for delivery of effective nutritional care for women with multifetal pregnancy.
KEYWORDS:   Remember

 

50. ​To achieve a 40-pound weight gain, women with twins need to consume approximately _____ more calories during pregnancy than do women with singleton pregnancies.

  a. ​15,000
  b. ​25,000
  c. ​35,000
  d. ​45,000
  e. ​50,000

 

ANSWER:   c
REFERENCES:   Multifetal Pregnancies
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.4 – Explain three differences in nutrient needs and cite two specific considerations for delivery of effective nutritional care for women with multifetal pregnancy.
KEYWORDS:   Remember

 

51. AIDS may be transmitted from mother to child through _____.​

  a. ​pregnancy only
  b. ​breastfeeding only
  c. ​airborne HIV particles only
  d. ​pregnancy and breastfeeding only
  e. ​pregnancy, breastfeeding, and airborne HIV particles

 

ANSWER:   d
REFERENCES:   HIV/AIDS During Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.5 – Identify the components of nutritional care for women with HIV during pregnancy.
KEYWORDS:   Understand

 

52. Goals for the nutritional management of women with HIV/AIDS advise against _____.​

  a. ​normal intakes of supplemental vitamins A and D
  b. ​normal intakes of supplemental iron
  c. ​BMI estimates early in pregnancy
  d. ​treating iron-deficiency anemia with iron supplements
  e. ​high doses of vitamin and mineral supplements

 

ANSWER:   e
REFERENCES:   HIV/AIDS During Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.5 – Identify the components of nutritional care for women with HIV during pregnancy.
KEYWORDS:   Understand

 

53. What eating disorder is most commonly observed among pregnant American women?​

  a. ​bulimia nervosa
  b. ​anorexia nervosa
  c. ​binge eating disorder
  d. ​emotional overeating
  e. ​Pregnant women cannot have eating disorders because women do not ovulate if they have an eating disorder.

 

ANSWER:   a
REFERENCES:   Eating Disorders in Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.6 – Identify two primary components of the nutritional care of women with eating disorders during pregnancy.
KEYWORDS:   Remember

 

54. ​The recommended treatment for a pregnant woman with an eating disorder is to _____.

  a. ​remind her to eat foods that help with weight gain
  b. ​refer her to an eating disorder clinic that uses a team approach to solve nutritional issues
  c. ​bargain with the woman to consume larger food portions but tell her that she can still vomit after eating
  d. ​listen to her express her anxiety and fear of weight gain without commenting negatively
  e. ​commit her to a psychiatric ward that helps women with eating disorders

 

ANSWER:   b
REFERENCES:   Eating Disorders in Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.6 – Identify two primary components of the nutritional care of women with eating disorders during pregnancy.
KEYWORDS:   Understand

 

55. ​The term used in the healthcare field to discuss pregnant women with eating disorders is _____.

  a. ​pregnancy fasting
  b. ​pregnancy-related food deficit
  c. ​pregulemia
  d. ​pregorexia
  e. ​pregnancy anorexia

 

ANSWER:   d
REFERENCES:   Eating Disorders in Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.6 – Identify two primary components of the nutritional care of women with eating disorders during pregnancy.
KEYWORDS:   Remember

 

56. ​Inadequate food intake in pregnant women with eating disorders is indicated by the presence of _____ in the urine.

  a. ​ketones
  b. ​fiber
  c. ​iron
  d. ​thromboxane
  e. ​glucose

 

ANSWER:   a
REFERENCES:   Eating Disorders in Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.6 – Identify two primary components of the nutritional care of women with eating disorders during pregnancy.
KEYWORDS:   Remember

 

57. ​The term fetal alcohol spectrum is now being used to describe _____.

  a. ​the range of effects alcohol has on fetal growth and development
  b. ​the number of drinks a woman can safely consume while pregnant
  c. ​a set of characteristics seen in children with alcoholic mothers
  d. ​children that have alcoholic fathers
  e. ​the effects on young children who are allowed to consume alcohol

 

ANSWER:   a
REFERENCES:   Fetal Alcohol Spectrum Disorders
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.7 – Summarize the consequences of excess alcohol intake during pregnancy, and list four factors that affect relationship between alcohol intake and the outcome of pregnancy.
KEYWORDS:   Understand

 

58. ​Abnormal facial features, such as a flat mid-face, abnormally shaped ears, and the presence of a smooth ridge between nose and lips characterize infants _____.

  a. with alcohol-related neurodevelopmental disorder​
  b. ​with alcohol-related birth defects
  c. ​with fetal alcohol syndrome
  d. ​of mothers with gestational diabetes
  e. ​of mothers with eating disorders

 

ANSWER:   c
REFERENCES:   Fetal Alcohol Spectrum Disorders
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.7 – Summarize the consequences of excess alcohol intake during pregnancy, and list four factors that affect relationship between alcohol intake and the outcome of pregnancy.
KEYWORDS:   Remember

 

59. ​An estimated 44 percent of children with fetal alcohol spectrum disorders have _____ system impairments that result in behavioral and intellectual disabilities.

  a. ​central nervous system
  b. ​circulatory
  c. ​respiratory
  d. ​immune
  e. ​insulin delivery

 

ANSWER:   a
REFERENCES:   Fetal Alcohol Spectrum Disorders
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.7 – Summarize the consequences of excess alcohol intake during pregnancy, and list four factors that affect relationship between alcohol intake and the outcome of pregnancy.
KEYWORDS:   Remember

 

60. ​Pregnant adolescents have a higher requirement for _____ than pregnant adults.

  a. ​iron
  b. ​folic acid
  c. ​vitamin A
  d. ​protein
  e. ​calcium

 

ANSWER:   e
REFERENCES:   Nutrition and Adolescent Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.8 – Distinguish three ways in which energy and nutrient needs differ between adults and adolescents during pregnancy.
KEYWORDS:   Remember

 

Mickie is a 37-year-old Hispanic female in her second pregnancy. Her first pregnancy resulted in a healthy baby girl who weighed 9 pounds 3 oz. Her prepregnancy information is as follows: BMI = 28; height = 5’4” tall; and weight = 165 pounds (75 kg). She did not manage to take off all the weight she gained before getting pregnant again and, at 24 weeks, she has gained 20 pounds and currently weighs 185 pounds (84 kg). Diet history reveals an average Calorie intake of 2300 Calories per day. Two hours after her 75-g glucose tolerance test starts, her blood glucose is 155 mg/dL.

 

61. ​Mickie’s BMI indicates that she was _____ going into pregnancy.

  a. ​underweight
  b. ​at a normal weight
  c. ​overweight
  d. ​obese
  e. ​morbidly

 

ANSWER:   c
REFERENCES:   Obesity and Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.1 – Cite three specific examples of nutrition-related recommendations intended for women who enter pregnancy obese.
KEYWORDS:   Apply

 

62. ​Mickie’s glucose tolerance test results indicate that she _____.

  a. ​is okay and does not have to be tested for gestational diabetes
  b. ​has gestational diabetes
  c. ​has borderline diabetes
  d. ​has type 2 diabetes
  e. ​has preeclampsia

 

ANSWER:   b
REFERENCES:   Diabetes in Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.3 – Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional management of each type.
KEYWORDS:   Apply

 

63. ​What would be the next step for Mickie?

  a. ​Go home and continue to have routine doctor visits.
  b. ​Attempt to normalize blood glucose levels by following a healthy diet and exercising.
  c. ​Perform a 50-gram glucose tolerance test while fasting.
  d. ​Begin a calorie-controlled diet and return to her doctor in 2 weeks to recheck weight.
  e. ​Cut caloric intake to less than 1500 calories per day.

 

ANSWER:   b
REFERENCES:   Diabetes in Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.3 – Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional management of each type.
KEYWORDS:   Apply

 

Matching

 

​Matching

a. ​physiologically active substances that act to constrict blood vessels, causing blood pressure to increase
b. ​carbohydrate intolerance with first onset in pregnancy
c. ​the layer of cells lining the inside of blood vessels
d. ​blood pressure ≥140 mm Hg (systolic) or ≥90 mm Hg (diastolic) diagnosed before 20th week of pregnancy
e. ​increased blood pressure diagnosed mid-pregnancy
f. ​abnormally rapid emptying of the stomach causing weakness, dizziness, flushing, and nausea
g. ​head too large for birth canal
h. ​increased blood pressure diagnosed after the 20th week of pregnancy in previously normotensive women
i. ​the separation of the placenta from its attachment to the uterus wall
j. ​metabolic by-products of the breakdown of fatty acids
k. ​disease associated with having deficient insulin output and being dependent on exogenous insulin

 

REFERENCES:   Hypertensive Disorders of Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.2 – Distinguish the different types of hypertensive disorders that occur during pregnancy, and connect two components of nutrition care recommended for women with each type.
KEYWORDS:   Remember

 

64. ​Endothelium

ANSWER:   c

 

65. ​Chronic hypertension

ANSWER:   d

 

66. ​Thromboxanes

ANSWER:   a

 

67. ​Gestational hypertension

ANSWER:   e

 

68. ​Preeclampsia

ANSWER:   h

 

69. ​Placenta abruption

ANSWER:   i

 

​Matching

a. ​physiologically active substances that act to constrict blood vessels, causing blood pressure to increase
b. ​carbohydrate intolerance with first onset in pregnancy
c. ​the layer of cells lining the inside of blood vessels
d. ​blood pressure ≥140 mm Hg (systolic) or ≥90 mm Hg (diastolic) diagnosed before 20th week of pregnancy
e. ​increased blood pressure diagnosed mid-pregnancy
f. ​abnormally rapid emptying of the stomach causing weakness, dizziness, flushing, and nausea
g. ​head too large for birth canal
h. ​increased blood pressure diagnosed after the 20th week of pregnancy in previously normotensive women
i. ​the separation of the placenta from its attachment to the uterus wall
j. ​metabolic by-products of the breakdown of fatty acids
k. ​disease associated with having deficient insulin output and being dependent on exogenous insulin

 

REFERENCES:   Obesity and Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.1 – Cite three specific examples of nutrition-related recommendations intended for women who enter pregnancy obese.
KEYWORDS:   Remember

 

70. Gestational diabetes

ANSWER:   b

 

71. ​Dumping syndrome

ANSWER:   f

 

​Matching

a. ​physiologically active substances that act to constrict blood vessels, causing blood pressure to increase
b. ​carbohydrate intolerance with first onset in pregnancy
c. ​the layer of cells lining the inside of blood vessels
d. ​blood pressure ≥140 mm Hg (systolic) or ≥90 mm Hg (diastolic) diagnosed before 20th week of pregnancy
e. ​increased blood pressure diagnosed mid-pregnancy
f. ​abnormally rapid emptying of the stomach causing weakness, dizziness, flushing, and nausea
g. ​head too large for birth canal
h. ​increased blood pressure diagnosed after the 20th week of pregnancy in previously normotensive women
i. ​the separation of the placenta from its attachment to the uterus wall
j. ​metabolic by-products of the breakdown of fatty acids
k. ​disease associated with having deficient insulin output and being dependent on exogenous insulin

 

REFERENCES:   Diabetes in Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.3 – Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional management of each type.
KEYWORDS:   Remember

 

72. Ketones

ANSWER:   j

 

73. Type 1 diabetes

ANSWER:   k

 

​Matching

a. ​physiologically active substances that act to constrict blood vessels, causing blood pressure to increase
b. ​carbohydrate intolerance with first onset in pregnancy
c. ​the layer of cells lining the inside of blood vessels
d. ​blood pressure ≥140 mm Hg (systolic) or ≥90 mm Hg (diastolic) diagnosed before 20th week of pregnancy
e. ​increased blood pressure diagnosed mid-pregnancy
f. ​abnormally rapid emptying of the stomach causing weakness, dizziness, flushing, and nausea
g. ​head too large for birth canal
h. ​increased blood pressure diagnosed after the 20th week of pregnancy in previously normotensive women
i. ​the separation of the placenta from its attachment to the uterus wall
j. ​metabolic by-products of the breakdown of fatty acids
k. ​disease associated with having deficient insulin output and being dependent on exogenous insulin

 

REFERENCES:   Nutrition and Adolescent Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.8 – Distinguish three ways in which energy and nutrient needs differ between adults and adolescents during pregnancy.
KEYWORDS:   Remember

 

74. Cephalopelvic disproportion​

ANSWER:   g

 

Subjective Short Answer

 

75. Discuss the primary goals of treatment for gestational diabetes, and the potential adverse outcomes for mother and baby if these goals are not met. What risk factors are associated with developing gestational diabetes?

ANSWER:   The mainstay of treatment for gestational diabetes is medical nutrition therapy that begins with attempts to normalize blood glucose levels with diet and exercise. Dietary and physical activity changes been shown to effectively normalize blood glucose levels and to decrease the risk of adverse perinatal outcomes in some women. If treatment goals are not met, gestational diabetes increases risk of spontaneous abortion, stillbirth, congenital anomalies, and neonatal death. Risk factors associated with developing gestational diabetes include excess body fat, unhealthy dietary patterns, and low physical activity levels.
REFERENCES:   Diabetes in Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.3 – Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional management of each type.
KEYWORDS:   Understand

 

76. Discuss the dietary recommendations for women with gestational diabetes. What are the proportions of daily calorie intake assigned to meals and snacks?

ANSWER:   In general, dietary patterns developed for women with gestational diabetes emphasize whole-grain breads and cereals, vegetables, fruits, and high-fiber foods; minimally processed, nutrient-dense foods consumed in appropriate portion sizes; limited intake of sugars and foods and beverages that contain them; low-glycemic index and high-fiber foods; unsaturated fats; and three regular meals and snacks daily. Proportions of daily calorie intake generally assigned to meals and snacks are 10–20 percent for breakfast; 20–30 percent for lunch; 30–40 percent for dinner; and 30 percent for snacks.
REFERENCES:   Diabetes in Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.3 – Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional management of each type.
KEYWORDS:   Understand

 

77. Describe visceral fat and its metabolic effects. Explain how high levels of visceral fat can lead to increased disease risk.

ANSWER:   Visceral fat lies beneath skin and muscles of the abdomen, and around internal organs. It is much more metabolically active than subcutaneous fat (fat that lies beneath the skin) and is more strongly related to disease risk. Metabolic processes initiated by visceral fat produce chronic inflammation, free-radical generation, and oxidative stress. These disruptions promote the development of insulin resistance, elevated blood glucose, insulin, triglyceride concentrations, and increased blood pressure. These changes, in turn, increase the risk of gestational diabetes, hypertensive disorders, and other clinical conditions during pregnancy. Normal-weight and overweight individuals with excessive visceral fat deposits are also at increased risk of metabolic abnormalities and diseases associated with them.
REFERENCES:   Obesity and Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.1 – Cite three specific examples of nutrition-related recommendations intended for women who enter pregnancy obese.
KEYWORDS:   Understand

 

78. Name and describe the four types of hypertensive disorders associated with pregnancy.

ANSWER:   Chronic hypertension is present before pregnancy or diagnosed before 20 weeks of pregnancy. Hypertension is defined as blood pressure ≥140 mm Hg systolic or ≥90 mm Hg diastolic blood pressure. Hypertension first diagnosed during pregnancy that does not resolve after pregnancy is also classified as chronic hypertension. Gestational hypertension is a condition that exists when elevated blood pressure levels are detected for the first time after mid-pregnancy. It is accompanied by proteinuria or the onset of new symptoms. Preeclampsia-Eclampsia is a pregnancy-specific syndrome that usually occurs after 20 weeks gestation (but that may occur earlier) in previously normotensive women. It is determined by increased blood pressure during pregnancy to ≥140 mm Hg systolic or ≥90 mm Hg diastolic and is accompanied by proteinuria. In the absence of proteinuria, the disease is highly suspected when increased blood pressure is accompanied by headache, blurred vision, abdominal pain, low platelet count, and abnormal liver enzyme values. Chronic hypertension with superimposed preeclampsia is a disorder characterized by the development of proteinuria during pregnancy in women with chronic hypertension. In women with hypertension and proteinuria before 20 weeks of pregnancy, it is indicated by a sudden increase in proteinuria, blood pressure, or abnormal platelet or liver enzyme levels.
REFERENCES:   Hypertensive Disorders of Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.2 – Distinguish the different types of hypertensive disorders that occur during pregnancy, and connect two components of nutrition care recommended for women with each type.
KEYWORDS:   Remember

 

79. Describe two factors with increased chances of multifetal pregnancies.

ANSWER:   The chances of a spontaneous multifetal pregnancy increase with age after about 35 years. Rates of spontaneous multifetal pregnancy also increase with increasing weight status. For example, the rate of twin pregnancy is about two times higher in obese than in underweight women.
REFERENCES:   Multifetal Pregnancies
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.4 – Explain three differences in nutrient needs and cite two specific considerations for delivery of effective nutritional care for women with multifetal pregnancy.
KEYWORDS:   Remember

 

80. How can women with HIV/AIDS during pregnancy decrease the risk of developing a foodborne infection?

ANSWER:   Risk of infection originating from foods can be decreased if raw or uncooked meats and seafood and unpasteurized milk products and honey are not consumed. Safe food-handling practices at home can also reduce the risk of foodborne infection.
REFERENCES:   HIV/AIDS During Pregnancy
LEARNING OBJECTIVES:   NTLC.BRWN.17.5.5 – Identify the components of nutritional care for women with HIV during pregnancy.
KEYWORDS:   Understand

 

 

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