NR228/NR 228 Exam 4 V1 | Nutrition, Health &
Wellness Q&A with Rationale | Chamberlain
University
1. A nurse is educating a client who is in the first trimester of pregnancy about the
importance of folic acid. Which of the following statements should the nurse include to
explain the primary benefit of this nutrient?
A. Folic acid helps prevent gestational diabetes by regulating glucose.
B. This nutrient is essential for the development of fetal skeletal structures.
C. Adequate folic acid intake reduces the risk of neural tube defects like spina bifida.
D. Folic acid is necessary to prevent maternal iron-deficiency anemia.
Correct Answer: C
Explanation: Folic acid is critical during the first few weeks of pregnancy for the proper
closure of the neural tube. Deficiencies can lead to severe birth defects such as spina bifida
or anencephaly. The recommended daily intake for pregnant women is 600 mcg to support
rapid cell division.
2. A client with a pre-pregnancy Body Mass Index (BMI) of 22 asks the nurse about the
recommended total weight gain during pregnancy. What is the correct response?
A. 11 to 20 pounds
B. 25 to 35 pounds
,C. 15 to 25 pounds
D. 28 to 40 pounds
Correct Answer: B
Explanation: For a woman with a normal BMI (18.5 to 24.9), the recommended weight
gain is 25 to 35 pounds. Underweight women require more gain, while overweight and
obese women require less. This weight gain supports fetal growth, placental development,
and maternal fat stores for lactation.
3. During a prenatal visit, a client reports craving and consuming non-food items such as clay
and laundry starch. Which condition should the nurse document?
A. Hyperemesis gravidarum
B. Gestational hypertension
C. Pica
D. Listeriosis
Correct Answer: C
Explanation: Pica is the practice of consuming non-nutritive substances and is often
associated with iron deficiency anemia. The nurse should assess the client’s hemoglobin
levels and nutritional status. Counseling should focus on replacing these substances with
nutrient-dense foods to ensure fetal health.
, 4. A nurse is providing teaching to a breastfeeding mother. Which of the following indicates
the mother requires more calories than during her non-pregnant state?
A. An additional 330 to 400 calories per day
B. An additional 100 calories per day
C. Double the caloric intake of the third trimester
D. No additional calories are needed if taking vitamins
Correct Answer: A
Explanation: Lactation requires significant energy to produce milk and maintain maternal
health. During the first six months, an additional 330 calories are recommended, followed
by 400 calories in the second six months. These extra calories should come from nutrient-
dense foods to optimize milk quality.
5. A nurse is educating a new parent about infant nutrition. Why should honey be avoided in
infants under 12 months of age?
A. It causes severe allergic reactions in infants.
B. It is too high in natural sugars for an infant’s pancreas.
C. It may contain Clostridium botulinum spores.
D. It interferes with the absorption of iron from formula.
Correct Answer: C
Wellness Q&A with Rationale | Chamberlain
University
1. A nurse is educating a client who is in the first trimester of pregnancy about the
importance of folic acid. Which of the following statements should the nurse include to
explain the primary benefit of this nutrient?
A. Folic acid helps prevent gestational diabetes by regulating glucose.
B. This nutrient is essential for the development of fetal skeletal structures.
C. Adequate folic acid intake reduces the risk of neural tube defects like spina bifida.
D. Folic acid is necessary to prevent maternal iron-deficiency anemia.
Correct Answer: C
Explanation: Folic acid is critical during the first few weeks of pregnancy for the proper
closure of the neural tube. Deficiencies can lead to severe birth defects such as spina bifida
or anencephaly. The recommended daily intake for pregnant women is 600 mcg to support
rapid cell division.
2. A client with a pre-pregnancy Body Mass Index (BMI) of 22 asks the nurse about the
recommended total weight gain during pregnancy. What is the correct response?
A. 11 to 20 pounds
B. 25 to 35 pounds
,C. 15 to 25 pounds
D. 28 to 40 pounds
Correct Answer: B
Explanation: For a woman with a normal BMI (18.5 to 24.9), the recommended weight
gain is 25 to 35 pounds. Underweight women require more gain, while overweight and
obese women require less. This weight gain supports fetal growth, placental development,
and maternal fat stores for lactation.
3. During a prenatal visit, a client reports craving and consuming non-food items such as clay
and laundry starch. Which condition should the nurse document?
A. Hyperemesis gravidarum
B. Gestational hypertension
C. Pica
D. Listeriosis
Correct Answer: C
Explanation: Pica is the practice of consuming non-nutritive substances and is often
associated with iron deficiency anemia. The nurse should assess the client’s hemoglobin
levels and nutritional status. Counseling should focus on replacing these substances with
nutrient-dense foods to ensure fetal health.
, 4. A nurse is providing teaching to a breastfeeding mother. Which of the following indicates
the mother requires more calories than during her non-pregnant state?
A. An additional 330 to 400 calories per day
B. An additional 100 calories per day
C. Double the caloric intake of the third trimester
D. No additional calories are needed if taking vitamins
Correct Answer: A
Explanation: Lactation requires significant energy to produce milk and maintain maternal
health. During the first six months, an additional 330 calories are recommended, followed
by 400 calories in the second six months. These extra calories should come from nutrient-
dense foods to optimize milk quality.
5. A nurse is educating a new parent about infant nutrition. Why should honey be avoided in
infants under 12 months of age?
A. It causes severe allergic reactions in infants.
B. It is too high in natural sugars for an infant’s pancreas.
C. It may contain Clostridium botulinum spores.
D. It interferes with the absorption of iron from formula.
Correct Answer: C
