NURS 3031 FINAL EXAM: WEEKS 7-11

NURS 3031 FINAL EXAM: WEEKS 7-11


folicyacidysupplementydoseyrecommendationyinypregnancyy-yCORRECTyANSWER--
400mcgy(0.4mg)ydailyyinyadditionytoyfolateyrichydiet
-pplyw/yfamyhxyorydiabetesymayybeyrecommendedyhigherydose

purposeyofyfolicyacidyduringypregnancyy-yCORRECTyANSWER--
decreaseyriskyofyneuralytubeydefects
-neuralytubeystartsytoydevelopyaty3-4weeksygestation

sourcesyofyfolicyacidy-yCORRECTyANSWER--greenyleafyyvegetablesy
-bakedybeans
-citrusyfruits
-peanuts
-liver
-fortifiedycerealsyandyotherygrainyproducts

howymanyycaloriesyextrayshouldyaypregnantywomenybeyconsumingy-
yCORRECTyANSWER-400-

500ycaloriesyaydayyextray(especiallyyiny2ndyandy3rdytrimesters)

normalyBMIy-yCORRECTyANSWER-18.5-24.9

UnderweightyBMIy-yCORRECTyANSWER-<18.5

ObeseyBMIy-yCORRECTyANSWER-overy30

OverweightyBMIy-yCORRECTyANSWER-25-29.9

HowytoycalculateyBMIy-yCORRECTyANSWER-weighty(kg)y/yheighty(m^2)

howymuchyofyanyincreaseyisyrequiredyinyproteinyintakeyinypregnancyy-
yCORRECTyANSWER-+25grams



Duringypregnancyydoyindividualsyrequireyvitaminyandymineralysupplementsyorycanya
yproperydietysupplyytheyneededyvitaminsyandyminerals?y-yCORRECTyANSWER--

Withytheyexceptionyofyfolateyandyiron,ynutrientyneedsyofymostypregnantyclient'sycarey
beymetythroughydietaryysources
-Maternityyvitaminywithyironyandyfolicyacid

RDAyforyironyduringypregnancyy-yCORRECTyANSWER-27ymg/day

Ironysourcesy-yCORRECTyANSWER--liver
-redymeats
-wholeygrain/enrichedybreadsyandycereals

,-deepyleafyygreenyveggies
-legumes
-driedyfruits

-
patientsywhoyhaveyironydeficiencyyanemiayduringyearlyypregnancyyareyatyincreasedyr
iskyfory...
-ironydeficiencyyduringywhatysemesterydoesynotycarryytheysameyrisks???y-
yCORRECTyANSWER--pretermybirthyandylowybirthweightyinfants

-3rdytrimester

Foodsytoyavoidyduringypregnancyy-yCORRECTyANSWER--fishyhighyinymercury
-unpasteurizedymilkyoryproductsy(softycheese)
-foodsyw/yraw/uncookedyeggs
-hotydogs,ydeliymeats

Foodsytoylimityduringypregnancyy-yCORRECTyANSWER-
caffeineyandyartificialysweeteners

recommendationyforymanagementyofynauseayandyvomitingyduringypregnancyy-
yCORRECTyANSWER--smallysnacksyfrequentlyyandyavoidybigymeals

-breadyandycrackersyasysoonyasytheyywakeyup
-avoidyspicyyandygreasyyfoods

distributionyofyweightyfor:yfetus,yplacenta,yamnioticyfluidy-yCORRECTyANSWER-
11lby(5kg)

distributionyofyweightyfor:yuterusy-yCORRECTyANSWER-2lby(0.9kg)

distributionyofyweightyforyincreasedybloodyvolumey-yCORRECTyANSWER-4lby(1.8kg)

distributionyofyweightyforybreastytissuey-yCORRECTyANSWER-3lby(1.4kg)

distributionyofyweightyforymaternalystoresy-yCORRECTyANSWER-5-10lby(2.3-4.5kg)

Recommendedyweightygainyduringypregnancyy-yCORRECTyANSWER--
1stytrimester:y3-5lbs
-2nd-3rdytrimesters:yavg.y1lb/week
-byy26yweeksytheyyhaveygainedy16lbs

consequencesyofyhighybirthyweighty-yCORRECTyANSWER--
prolongedylabouryandybirth
-birthytrauma
-birthyasphyxia
-cesareanybirth
-increasedyriskyofyperinatalymortality

, nutritionyneedsyduringylactationyarey-yCORRECTyANSWER-
similarytoythoseyduringypregnancyyw/yincreasedycalorieyconsumption

recommendedythatyinfantsybey_____yforytheyfirsty6monthsyofylifeyandywhyy-
yCORRECTyANSWER--exclusivelyybreastfed

-humanybreastymilkyisyspeciesyspecific

mostycommonyreasonythatyclientsystopybreastfeedingy-yCORRECTyANSWER-
perceptionsythatytheyydon'tyhaveyenoughymilkyproductionybutymostyofytheytimeyther
eyalwaysyis

benefitsyofybreastfeedingyforymothery-yCORRECTyANSWER--financiallyyinexpensive
-bondingyandyconvenience
-oxytocinyisyreleasedytoyhelpycontractyuterus
-weightylossyfromyburningyextraycalories

benefitsyofybreastfeedingyforybabyy-yCORRECTyANSWER--easilyydigested
-
immunoglobulinyAyhelpsyw/yimmuneysystemy(lessylikelyytoygetyearyandyGIyinfections
)
-decreasedyriskyofySIDs,yfoodyallergy,yasthma

howyoftenydoybreastfedybabiesyfeedywhileycomparedytoyformulayfedy-
yCORRECTyANSWER--fedymoreyfrequently

-theyydigestytheyfoodyfaster

Lactogenesisyprocessy-yCORRECTyANSWER--
ductulesyenlargeyintoylactiferousyductsyandysinusesywhereymilkycollectsybehindytheyn
ipple
-eachynippleyhasyporesywhereymilkyisytransferredytoysucklingyinfant

afterybirth,yayprecipitateydecreaseyiny____yandy_____ylevelsytriggersyreleaseyof...y-
yCORRECTyANSWER--estrogenyandyprogesteroneylevels

-prolactinyfromyanteriorypituitaryygland

whatydoesyinfantysucklingyresultyiny-yCORRECTyANSWER--riseyinyprolactinylevels
-stimulatesyoxytociny("milkyejectionyreflex")
-contractsyuterusy(afterpains)

colostrumy-yCORRECTyANSWER--
beginsyinypregnancyyandycontinuesyforyfirstyfewydaysyafterybirth
-thickerythanymatureymilk,yyellowyappearance
-containsymoreyprotein,yfat-
solubleyvitamins,ymineralsyandyhighylevelsyofyimmunoglobulins