Maternal child Ch. 9 questions and 100%
verified answers 2025/2026 version
A 22-year-old woman pregnant with a single fetus has a preconception body mass index (BMI) of 24.
When
she was seen in the clinic at 14 weeks of gestation, she had gained 1.8 kg (4 lb) since conception. How
would
the nurse interpret this?
a. This weight gain indicates possible gestational hypertension.
b. This weight gain indicates that the womans infant is at risk for intrauterine growth restriction
(IUGR).
c. This weight gain cannot be evaluated until the woman has been observed for several more weeks.
d. The womans weight gain is appropriate for this stage of pregnancy. - Answer ANS: D
The statement The womans weight gain is appropriate for this stage of pregnancy is accurate. This
womans
BMI is within the normal range. During the first trimester, the average total weight gain is only 1 to 2.5
kg.
Although weight gain does indicate possible gestational hypertension, it does not apply to this patient.
The
desirable weight gain during pregnancy varies among women. The primary factor to consider in making
a
weight gain recommendation is the appropriateness of the prepregnancy weight for the womans height.
A
commonly used method of evaluating the appropriateness of weight for height is the BMI. Although
weight
gain does indicate risk for IUGR, this does not apply to this patient. Weight gain should occur at a steady
rate
throughout the pregnancy. The optimal rate of weight gain also depends on the stage of the pregnancy
Which meal would provide the most absorbable iron?
a. Toasted cheese sandwich, celery sticks, tomato slices, and a grape drink
b. Oatmeal, whole wheat toast, jelly, and low-fat milk
,c. Black bean soup, wheat crackers, orange sections, and prunes
d. Red beans and rice, cornbread, mixed greens, and decaffeinated tea - Answer ANS: C
Food sources that are rich in iron include liver, meats, whole grain or enriched breads and cereals, deep
green
leafy vegetables, legumes, and dried fruits. In addition, the vitamin C in orange sections aids absorption.
Dairy
products and tea are not sources of iron
Which nutrients recommended dietary allowance (RDA) is higher during lactation than during
pregnancy?
a. Energy (kcal) c. Vitamin A
b. Iron d. Folic acid - Answer ANS: A
Needs for energy, protein, calcium, iodine, zinc, the B vitamins, and vitamin C remain greater than
nonpregnant needs.
A pregnant womans diet consists almost entirely of whole grain breads and cereals, fruits, and
vegetables.
The nurse would be most concerned about this womans intake of:
a. Calcium. c. Vitamin B12.
b. Protein. d. Folic acid - Answer ANS: C
This diet is consistent with that followed by a strict vegetarian (vegan). Vegans consume only plant
products.
Because vitamin B12 is found in foods of animal origin, this diet is deficient in vitamin B12.
A pregnant woman experiencing nausea and vomiting should:
a. Drink a glass of water with a fat-free carbohydrate before getting out of bed in the morning.
b. Eat small, frequent meals (every 2 to 3 hours).
c. Increase her intake of high-fat foods to keep the stomach full and coated.
d. Limit fluid intake throughout the day - Answer ANS: B
Eating small, frequent meals is the correct suggestion for a woman experiencing nausea and vomiting. A
, pregnant woman experiencing nausea and vomiting should avoid consuming fluids early in the day or
when
nauseated, but should compensate by drinking fluids at other times. A pregnant woman experiencing
nausea
and vomiting should reduce her intake of fried and other fatty foods
A pregnant woman reports that she is still playing tennis at 32 weeks of gestation. The nurse would be
most
concerned that during and after tennis matches this woman consumes:
a. Several glasses of fluid.
b. Extra protein sources such as peanut butter.
c. Salty foods to replace lost sodium.
d. Easily digested sources of carbohydrate - Answer ANS: A
If no medical or obstetric problems contraindicate physical activity, pregnant women should get 30
minutes of
moderate physical exercise daily. Liberal amounts of fluid should be consumed before, during, and after
exercise because dehydration can trigger premature labor. The womans calorie intake should be
sufficient to
meet the increased needs of pregnancy and the demands of exercise
Which statement made by a lactating woman would lead the nurse to believe that the woman might
have
lactose intolerance?
a. I always have heartburn after I drink milk.
b. If I drink more than a cup of milk, I usually have abdominal cramps and bloating.
c. Drinking milk usually makes me break out in hives.
d. Sometimes I notice that I have bad breath after I drink a cup of milk - Answer ANS: B
Abdominal cramps and bloating are consistent with lactose intolerance. One problem that can interfere
with
milk consumption is lactose intolerance, which is the inability to digest milk sugar because of a lack of
the
enzyme lactose in the small intestine. Milk consumption may cause abdominal cramping, bloating, and
verified answers 2025/2026 version
A 22-year-old woman pregnant with a single fetus has a preconception body mass index (BMI) of 24.
When
she was seen in the clinic at 14 weeks of gestation, she had gained 1.8 kg (4 lb) since conception. How
would
the nurse interpret this?
a. This weight gain indicates possible gestational hypertension.
b. This weight gain indicates that the womans infant is at risk for intrauterine growth restriction
(IUGR).
c. This weight gain cannot be evaluated until the woman has been observed for several more weeks.
d. The womans weight gain is appropriate for this stage of pregnancy. - Answer ANS: D
The statement The womans weight gain is appropriate for this stage of pregnancy is accurate. This
womans
BMI is within the normal range. During the first trimester, the average total weight gain is only 1 to 2.5
kg.
Although weight gain does indicate possible gestational hypertension, it does not apply to this patient.
The
desirable weight gain during pregnancy varies among women. The primary factor to consider in making
a
weight gain recommendation is the appropriateness of the prepregnancy weight for the womans height.
A
commonly used method of evaluating the appropriateness of weight for height is the BMI. Although
weight
gain does indicate risk for IUGR, this does not apply to this patient. Weight gain should occur at a steady
rate
throughout the pregnancy. The optimal rate of weight gain also depends on the stage of the pregnancy
Which meal would provide the most absorbable iron?
a. Toasted cheese sandwich, celery sticks, tomato slices, and a grape drink
b. Oatmeal, whole wheat toast, jelly, and low-fat milk
,c. Black bean soup, wheat crackers, orange sections, and prunes
d. Red beans and rice, cornbread, mixed greens, and decaffeinated tea - Answer ANS: C
Food sources that are rich in iron include liver, meats, whole grain or enriched breads and cereals, deep
green
leafy vegetables, legumes, and dried fruits. In addition, the vitamin C in orange sections aids absorption.
Dairy
products and tea are not sources of iron
Which nutrients recommended dietary allowance (RDA) is higher during lactation than during
pregnancy?
a. Energy (kcal) c. Vitamin A
b. Iron d. Folic acid - Answer ANS: A
Needs for energy, protein, calcium, iodine, zinc, the B vitamins, and vitamin C remain greater than
nonpregnant needs.
A pregnant womans diet consists almost entirely of whole grain breads and cereals, fruits, and
vegetables.
The nurse would be most concerned about this womans intake of:
a. Calcium. c. Vitamin B12.
b. Protein. d. Folic acid - Answer ANS: C
This diet is consistent with that followed by a strict vegetarian (vegan). Vegans consume only plant
products.
Because vitamin B12 is found in foods of animal origin, this diet is deficient in vitamin B12.
A pregnant woman experiencing nausea and vomiting should:
a. Drink a glass of water with a fat-free carbohydrate before getting out of bed in the morning.
b. Eat small, frequent meals (every 2 to 3 hours).
c. Increase her intake of high-fat foods to keep the stomach full and coated.
d. Limit fluid intake throughout the day - Answer ANS: B
Eating small, frequent meals is the correct suggestion for a woman experiencing nausea and vomiting. A
, pregnant woman experiencing nausea and vomiting should avoid consuming fluids early in the day or
when
nauseated, but should compensate by drinking fluids at other times. A pregnant woman experiencing
nausea
and vomiting should reduce her intake of fried and other fatty foods
A pregnant woman reports that she is still playing tennis at 32 weeks of gestation. The nurse would be
most
concerned that during and after tennis matches this woman consumes:
a. Several glasses of fluid.
b. Extra protein sources such as peanut butter.
c. Salty foods to replace lost sodium.
d. Easily digested sources of carbohydrate - Answer ANS: A
If no medical or obstetric problems contraindicate physical activity, pregnant women should get 30
minutes of
moderate physical exercise daily. Liberal amounts of fluid should be consumed before, during, and after
exercise because dehydration can trigger premature labor. The womans calorie intake should be
sufficient to
meet the increased needs of pregnancy and the demands of exercise
Which statement made by a lactating woman would lead the nurse to believe that the woman might
have
lactose intolerance?
a. I always have heartburn after I drink milk.
b. If I drink more than a cup of milk, I usually have abdominal cramps and bloating.
c. Drinking milk usually makes me break out in hives.
d. Sometimes I notice that I have bad breath after I drink a cup of milk - Answer ANS: B
Abdominal cramps and bloating are consistent with lactose intolerance. One problem that can interfere
with
milk consumption is lactose intolerance, which is the inability to digest milk sugar because of a lack of
the
enzyme lactose in the small intestine. Milk consumption may cause abdominal cramping, bloating, and
