NR228/NR 228 Exam 2 V1 | Nutrition, Health &
Wellness Q&A with Rationale | Chamberlain
University
1. A nurse is providing teaching to a client who is at 12 weeks of gestation and has a BMI of
22. What is the recommended total weight gain for this client during pregnancy?
A. 25 to 35 lbs
B. 15 to 25 lbs
C. 28 to 40 lbs
D. 11 to 20 lbs
Correct Answer: A
Explanation: The recommended weight gain for a woman with a normal BMI (18.5-24.9) is
25 to 35 pounds. This range is essential to support fetal growth and maternal tissue
development. Gaining too little or too much can lead to complications such as low birth
weight or gestational diabetes.
2. A client who is breastfeeding requires an increase in caloric intake. How many additional
calories per day are recommended during the first 6 months of lactation?
A. 200 calories
B. 330 calories
C. 500 calories
,D. 450 calories
Correct Answer: B
Explanation: The Dietary Guidelines recommend an additional 330 calories per day during
the first six months of lactation to support milk production. This assumes that the
remaining energy needed for milk production comes from maternal fat stores. Proper
caloric intake ensures the mother maintains her own health while providing adequate
nutrition to the infant.
3. Which of the following vitamins should a nurse instruct a pregnant client to take to prevent
neural tube defects?
A. Vitamin A
B. Vitamin C
C. Vitamin E
D. Folate
Correct Answer: D
Explanation: Folate or folic acid is crucial for the development of the neural tube in the
early stages of pregnancy. Adequate intake reduces the risk of defects like spina bifida and
anencephaly. The CDC recommends 400 to 600 mcg daily for women of childbearing age
and during pregnancy.
, 4. A nurse is assessing a client for manifestations of scurvy. Which vitamin deficiency should
the nurse associate with this condition?
A. Vitamin B12
B. Vitamin D
C. Vitamin A
D. Vitamin C
Correct Answer: D
Explanation: Scurvy is caused by a severe deficiency of Vitamin C, which is necessary for
collagen synthesis. Symptoms include bleeding gums, petechiae, and impaired wound
healing. Consuming citrus fruits and vegetables can effectively prevent and treat this
deficiency.
5. A nurse is caring for a client who is taking warfarin. Which of the following foods should
the nurse advise the client to consume in consistent amounts?
A. Bananas
B. Whole grain bread
C. Spinach
D. Orange juice
Correct Answer: C
Wellness Q&A with Rationale | Chamberlain
University
1. A nurse is providing teaching to a client who is at 12 weeks of gestation and has a BMI of
22. What is the recommended total weight gain for this client during pregnancy?
A. 25 to 35 lbs
B. 15 to 25 lbs
C. 28 to 40 lbs
D. 11 to 20 lbs
Correct Answer: A
Explanation: The recommended weight gain for a woman with a normal BMI (18.5-24.9) is
25 to 35 pounds. This range is essential to support fetal growth and maternal tissue
development. Gaining too little or too much can lead to complications such as low birth
weight or gestational diabetes.
2. A client who is breastfeeding requires an increase in caloric intake. How many additional
calories per day are recommended during the first 6 months of lactation?
A. 200 calories
B. 330 calories
C. 500 calories
,D. 450 calories
Correct Answer: B
Explanation: The Dietary Guidelines recommend an additional 330 calories per day during
the first six months of lactation to support milk production. This assumes that the
remaining energy needed for milk production comes from maternal fat stores. Proper
caloric intake ensures the mother maintains her own health while providing adequate
nutrition to the infant.
3. Which of the following vitamins should a nurse instruct a pregnant client to take to prevent
neural tube defects?
A. Vitamin A
B. Vitamin C
C. Vitamin E
D. Folate
Correct Answer: D
Explanation: Folate or folic acid is crucial for the development of the neural tube in the
early stages of pregnancy. Adequate intake reduces the risk of defects like spina bifida and
anencephaly. The CDC recommends 400 to 600 mcg daily for women of childbearing age
and during pregnancy.
, 4. A nurse is assessing a client for manifestations of scurvy. Which vitamin deficiency should
the nurse associate with this condition?
A. Vitamin B12
B. Vitamin D
C. Vitamin A
D. Vitamin C
Correct Answer: D
Explanation: Scurvy is caused by a severe deficiency of Vitamin C, which is necessary for
collagen synthesis. Symptoms include bleeding gums, petechiae, and impaired wound
healing. Consuming citrus fruits and vegetables can effectively prevent and treat this
deficiency.
5. A nurse is caring for a client who is taking warfarin. Which of the following foods should
the nurse advise the client to consume in consistent amounts?
A. Bananas
B. Whole grain bread
C. Spinach
D. Orange juice
Correct Answer: C
