Perry - Hockenberry chapter 9. Maternal and Fetal Nutrition Questions Fully Solved
The nurse notices that a pregnant patient is worried about gaining weight and has stayed away from
eating foods high in carbohydrates. What should the nurse do to ensure adequate nutrition?1Inform the
patient that lack of proper nutrition may delay the newborn's delivery date.2Suggest the patient
increase her protein intake to compensate for the carbohydrate levels.3Inform the patient that
breastfeeding aids in losing the weight gained during pregnancy.4Inform the patient that a decreased
intake of carbohydrates during pregnancy causes fetal obesity. - Answers 3
The nurse instructs a Middle Eastern patient who is pregnant regarding the importance of including a
good amount of fruits in the diet to improve folate levels in the body. Which fruits should the nurse
recommend to the patient? Select all that apply.1 Grapes2 Peaches3 Apricots4 Star fruit5 Pomegranates
- Answers 13
throughout my pregnancy, but now that I have delivered my baby, I want to be able to drink alcohol."
What should the nurse inform the patient? Select all that apply.1 "You would not be able to produce
sufficient milk for the baby."2 "Your child may develop psychomotor retardation if you drink."3 "Your
child would not be able to suck milk if you have alcohol."4 "Your child may become anemic if you drink
any form of alcohol."5 "Your child would not be able sleep properly if you have alcohol." - Answers 23
The nurse observes that a patient has a decreased vitamin D level during a prenatal visit. Which
associated risk should the nurse suspect to observe in the patient?
1Goiter2Tetany3Ketonuria4Macrosomia - Answers 2
What question does the nurse ask while assessing the socioeconomic status of a pregnant patient?
1"What prescription medications do you take?"2"Do you have any factories around your house?"3"Do
you have any medical or dental insurance?"4"Are there any diseases that run in your family?" - Answers
3
The nurse is teaching a patient with anemia when and how to take the prescribed iron supplements. The
nurse provides a list of beverages for the patient to stay away from while taking the iron supplement.
What is the rationale for this?1They can affect the process of hematopoiesis.2They increase red blood
cell (RBC) destruction.3They can decrease iron supplement absorption.4They can increase the plasma
levels of caffeine. - Answers 3
The nurse teaches a group of students about the use of artificial sweeteners during pregnancy. Arrange
the artificial sweeteners in a descending order according to their sweetness as compared to
sugar.1.Acesulfame K (Sunett)2.Sucralose (Splenda)3.Aspartame (NutraSweet)4.Saccharin (Sweet'N Low)
- Answers 2413
The nurse is providing dietary education to a patient who is 4 months pregnant. Which diet should the
nurse suggest to the patient for proper neural development of the fetus?1Nuts, beans and legumes,
cocoa, meats, and whole grains2Iodized salt, milk and milk products, yeast breads, and rolls3Citrus
, fruits, broccoli, melons, strawberries, and tomatoes4Asparagus, eggs, fortified cereals, and green leafy
vegetables - Answers 4
The nurse notices that the hemoglobin levels of an infant who is breastfed have reduced drastically since
birth. What is the probable reason for the infant to have anemia?1The infant's mother is still taking folic
acid and B vitamins.2The infant's mother is consuming large amounts of caffeine.3The infant's mother
continues to take oral iron supplements.4The infant's mother drinks large amounts of water and juices. -
Answers 2
When assessing a pregnant woman in the second trimester, the nurse finds the patient to be healthy,
but the patient reports mild edema. What should the nurse infer from this finding?1The patient has a
vitamin B deficiency.2This is a normal finding; it results from estrogen.3The patient is consuming too
many calories.4The nurse should check the blood glucose - Answers 2
What measures should the nurse instruct a pregnant patient to take to relieve the symptoms of morning
sickness during the first trimester? Select all that apply.1 Consume food when it is not hot.2 Eat food in
smaller portions.3 Include smaller amounts of fluids.4 Include foods that are high in fats.5 Include food
high in starch content. - Answers 125
A pregnant woman with a body mass index (BMI) of 22 asks the nurse how she should be gaining weight
during pregnancy. The nurse's best response is to tell the woman that her pattern of weight gain should
be approximately:1a pound a week throughout pregnancy.22 to 5 lbs during the first trimester, then a
pound each week until the end of pregnancy.3a pound a week during the first two trimesters, then 2 lbs
per week during the third trimester.4a total of 25 to 35 lbs - Answers 2
The nurse instructs the patient to eat nuts, legumes, cocoa, and whole grains during the second
trimester of pregnancy. What is the rationale for this instruction? The patient has:1A diet that is low in
zinc.2A low intake of vitamin A.3A low intake of magnesium.4Decreased vitamin D intake. - Answers 3
A pregnant woman at 7 weeks of gestation complains to her nurse-midwife about frequent episodes of
nausea during the day with occasional vomiting. She asks what she can do to feel better. The nurse-
midwife should suggest that the woman:1drink warm fluids with each of her meals.2eat a high-protein
snack before going to bed.3keep crackers and peanut butter at her bedside to eat in the morning before
getting out of bed.4schedule three meals and one midafternoon snack a day. - Answers 2
A patient who is 6 months pregnant is diagnosed with diverticulosis. Which diet should the nurse
recommend to the patient?1Whole grains, bran, vegetables, and fruits2Citrus fruits and dark green leafy
vegetables3Shellfish, liver, meats, whole grains, and milk4Iodized salt, seafood, milk products, and rolls -
Answers 1
The nurse instructs a pregnant patient to stay away from Brie, Camembert, and the soft Mexican
cheeses. What would be the possible clinical reason for giving such advice to the patient?1Possibility of
listeriosis developing2Physiologic anemia3Sigmoid diverticulosis4Phenylketonuria (PKU) - Answers 1
The nurse notices that a pregnant patient is worried about gaining weight and has stayed away from
eating foods high in carbohydrates. What should the nurse do to ensure adequate nutrition?1Inform the
patient that lack of proper nutrition may delay the newborn's delivery date.2Suggest the patient
increase her protein intake to compensate for the carbohydrate levels.3Inform the patient that
breastfeeding aids in losing the weight gained during pregnancy.4Inform the patient that a decreased
intake of carbohydrates during pregnancy causes fetal obesity. - Answers 3
The nurse instructs a Middle Eastern patient who is pregnant regarding the importance of including a
good amount of fruits in the diet to improve folate levels in the body. Which fruits should the nurse
recommend to the patient? Select all that apply.1 Grapes2 Peaches3 Apricots4 Star fruit5 Pomegranates
- Answers 13
throughout my pregnancy, but now that I have delivered my baby, I want to be able to drink alcohol."
What should the nurse inform the patient? Select all that apply.1 "You would not be able to produce
sufficient milk for the baby."2 "Your child may develop psychomotor retardation if you drink."3 "Your
child would not be able to suck milk if you have alcohol."4 "Your child may become anemic if you drink
any form of alcohol."5 "Your child would not be able sleep properly if you have alcohol." - Answers 23
The nurse observes that a patient has a decreased vitamin D level during a prenatal visit. Which
associated risk should the nurse suspect to observe in the patient?
1Goiter2Tetany3Ketonuria4Macrosomia - Answers 2
What question does the nurse ask while assessing the socioeconomic status of a pregnant patient?
1"What prescription medications do you take?"2"Do you have any factories around your house?"3"Do
you have any medical or dental insurance?"4"Are there any diseases that run in your family?" - Answers
3
The nurse is teaching a patient with anemia when and how to take the prescribed iron supplements. The
nurse provides a list of beverages for the patient to stay away from while taking the iron supplement.
What is the rationale for this?1They can affect the process of hematopoiesis.2They increase red blood
cell (RBC) destruction.3They can decrease iron supplement absorption.4They can increase the plasma
levels of caffeine. - Answers 3
The nurse teaches a group of students about the use of artificial sweeteners during pregnancy. Arrange
the artificial sweeteners in a descending order according to their sweetness as compared to
sugar.1.Acesulfame K (Sunett)2.Sucralose (Splenda)3.Aspartame (NutraSweet)4.Saccharin (Sweet'N Low)
- Answers 2413
The nurse is providing dietary education to a patient who is 4 months pregnant. Which diet should the
nurse suggest to the patient for proper neural development of the fetus?1Nuts, beans and legumes,
cocoa, meats, and whole grains2Iodized salt, milk and milk products, yeast breads, and rolls3Citrus
, fruits, broccoli, melons, strawberries, and tomatoes4Asparagus, eggs, fortified cereals, and green leafy
vegetables - Answers 4
The nurse notices that the hemoglobin levels of an infant who is breastfed have reduced drastically since
birth. What is the probable reason for the infant to have anemia?1The infant's mother is still taking folic
acid and B vitamins.2The infant's mother is consuming large amounts of caffeine.3The infant's mother
continues to take oral iron supplements.4The infant's mother drinks large amounts of water and juices. -
Answers 2
When assessing a pregnant woman in the second trimester, the nurse finds the patient to be healthy,
but the patient reports mild edema. What should the nurse infer from this finding?1The patient has a
vitamin B deficiency.2This is a normal finding; it results from estrogen.3The patient is consuming too
many calories.4The nurse should check the blood glucose - Answers 2
What measures should the nurse instruct a pregnant patient to take to relieve the symptoms of morning
sickness during the first trimester? Select all that apply.1 Consume food when it is not hot.2 Eat food in
smaller portions.3 Include smaller amounts of fluids.4 Include foods that are high in fats.5 Include food
high in starch content. - Answers 125
A pregnant woman with a body mass index (BMI) of 22 asks the nurse how she should be gaining weight
during pregnancy. The nurse's best response is to tell the woman that her pattern of weight gain should
be approximately:1a pound a week throughout pregnancy.22 to 5 lbs during the first trimester, then a
pound each week until the end of pregnancy.3a pound a week during the first two trimesters, then 2 lbs
per week during the third trimester.4a total of 25 to 35 lbs - Answers 2
The nurse instructs the patient to eat nuts, legumes, cocoa, and whole grains during the second
trimester of pregnancy. What is the rationale for this instruction? The patient has:1A diet that is low in
zinc.2A low intake of vitamin A.3A low intake of magnesium.4Decreased vitamin D intake. - Answers 3
A pregnant woman at 7 weeks of gestation complains to her nurse-midwife about frequent episodes of
nausea during the day with occasional vomiting. She asks what she can do to feel better. The nurse-
midwife should suggest that the woman:1drink warm fluids with each of her meals.2eat a high-protein
snack before going to bed.3keep crackers and peanut butter at her bedside to eat in the morning before
getting out of bed.4schedule three meals and one midafternoon snack a day. - Answers 2
A patient who is 6 months pregnant is diagnosed with diverticulosis. Which diet should the nurse
recommend to the patient?1Whole grains, bran, vegetables, and fruits2Citrus fruits and dark green leafy
vegetables3Shellfish, liver, meats, whole grains, and milk4Iodized salt, seafood, milk products, and rolls -
Answers 1
The nurse instructs a pregnant patient to stay away from Brie, Camembert, and the soft Mexican
cheeses. What would be the possible clinical reason for giving such advice to the patient?1Possibility of
listeriosis developing2Physiologic anemia3Sigmoid diverticulosis4Phenylketonuria (PKU) - Answers 1
