NU 321 Sherpath: Nutritional Considerations & Maternal Weight During Pregnancy

Which food would provide a pregnant client with the most amount of folate per serving?

One large egg

Half a cup of legumes

Half a cup of broccoli

100 g of beef liver

100 g of beef liver

Which range of weight gain would be recommended during pregnancy for a client who was overweight prior to conception?

11 to 20 pounds

25 to 35 pounds

15 to 25 pounds

28 to 40 pounds

15-25 pounds

Which tissue contributes to maternal weight gain at 40 weeks of gestation?

Increased in pulmonary tissue

Increased fat stores

Breast tissue

Increased blood volume

Amniotic fluid

Increased fat stores

Breast tissue

Increased blood volume

Amniotic fluid

Which factor contributes to a woman's increased nutritional needs during pregnancy?

Decreased nutrient absorption

Limited transfer of nutrient across placenta

Increased metabolic rate

Development of mammary glands

Blood volume increase

Increased metabolic rate

Development of mammary glands

Blood volume increase

Which vitamin would help in tissue formation and enhance iron absorption during pregnancy?

Vitamin B12

Vitamin D

Vitamin C

Vitamin K

Vitamin C

Magnesium

It is essential to numerous physiologic processes, including protein synthesis, muscle and nerve function, glycolysis, and regulation of blood pressure.

Zinc

It is a constituent of numerous enzymes involved in major metabolic pathways.

Choline

It is essential for fetal neural development and function, essential for cell membrane integrity

Iodine

It is important for neurocognitive development of the fetus.

Which pregnancy-related complication would increase due to maternal consumption of excess caffeine?

Stillbirth

Large fetus for gestational age

Preeclampsia

Morning sickness

Stillbirth

Which teaching would be provided for a pregnant client who is experiencing pica-related cravings?

Eat large meals with longer gaps between the meals.

Engage in dietary restriction.

Take a walk.

Drink a cup of coffee.

Take a walk (to distract)

Which nutrient may be lacking in a gluten-free diet?

Folate

Vitamin C

Protein

Niacin

Thiamine

Folate

Niacin

Thiamine

Which education would a nurse provide to a pregnant client who is living with obesity?

"You are at increased risk for cesarean birth, so it is essential to avoid excessive gestational weight gain."

"Your body cannot meet the iron requirements of pregnancy, so you would need supplements more than a client with a regular BMI."

"It is suggested that you lose some weight during your first trimester to avoid excessive weight gain in the subsequent trimesters."

"Obesity increases the risk for a hypotensive disorder after birth, but this can be avoided with regular activity and high-quality food intake."

"You are at increased risk for cesarean birth, so it is essential to avoid excessive gestational weight gain."

Which fetal defect would result from inadequate folate intake by the mother during pregnancy?

Skeletal dysplasia

Tetralogy of Fallot

Spina bifida

Hypospadias

Spina bifida

Which education related to weight gain is appropriate for a woman with a normal BMI in her second trimester of pregnancy?

"It is suggested that you gain between 1.0 and 1.3 lb. per week."

"Now the growth occurs primarily in fetal tissues. So, you should gain 0.8 to 1 lb. per week."

"Your recommended weight gain is 0.5 to 0.7 lb. a week."

"It would be appropriate for you to gain between 0.8 and 1 lb. per week."

"It would be appropriate for you to gain between 0.8 and 1 lb. per week."

Which physiologic activity related to pregnancy necessitates an increased intake of protein?

Rapid fetal growth

Creation of amniotic fluid

Uterine enlargement

Increased blood plasma

Enhanced maternal immune response

Rapid fetal growth

Creation of amniotic fluid

Uterine enlargement

Increased blood plasma

Which teaching would be provided to a client regarding fat intake during pregnancy?

"Saturated fats can make up 15% of your total daily caloric intake."

"It is recommended to consume 200 mg/day of docosahexaenoic acid (DHA)."

"Fat intake should not come from seafood due to the risk of fetal neurotoxicity."

"You should consider taking an omega-3 supplement, which helps in baby's brain development."

"You should consider taking an omega-3 supplement, which helps in baby's brain development."

Which client condition would require education about sodium restriction during pregnancy?

Moderate peripheral edema

Risk of preeclampsia

Liver disease

Risk of iron deficiency anemia

Liver disease

Which education would be provided to a pregnant client about the consumption of nonnutritive sweeteners (NNSs)?

NNS consumption may increase the child's BMI.

NNSs must be completely avoided.

NNSs contain vitamins and minerals.

NNSs are made from natural ingredients.

NNS consumption may increase the child's BMI.

Which condition would be associated with the consumption of nonfood items by a pregnant client who is experiencing pica?

Gestational diabetes

Preeclampsia

Heavy metal toxicity

Hyperemesis

Heavy metal toxicity

Which food would be a good source of calcium for a pregnant client with lactose intolerance?

Cashew butter

Tofu

Blueberries

Whole wheat pasta

Tofu