Chapter 9: Maternal and Fetal
Nutrition NCLEX
A
(A weight gain of 30 pounds is one indication that the client has gained a sufficient amount for the
nutritional needs of pregnancy. A daily supplement is not the best goal for this client and does not meet
the basic need of proper nutrition during pregnancy. Decreasing snack foods may be needed and should
be assessed; however, assessing weight gain is the best method of monitoring nutritional intake for this
pregnant client. Although increasing the intake of complex carbohydrates is important for this client,
monitoring the weight gain should be the end goal.) - answer ✅✅The nurse has formulated a diagnosis
of Imbalanced nutrition: Less than body requirements for the client. Which goal is most appropriate for
this client to obtain?
A. Gain a total of 30 pounds.
B. Consistently take daily supplements.
C. Decrease her intake of snack foods.
D. Increase her intake of complex carbohydrates.
A
(Brie, Camembert, and the soft Mexican cheeses are made with unpasteurized milk. Listeriosis is a
disease caused by the infection of the bacteria Listeria, which is present in unpasteurized milk. This
disease increases the risk for miscarriage, premature birth, and stillbirth in pregnant patients. Thus the
nurse instructs the patient to stay away from those products that cause listeriosis. Brie, Camembert, and
the soft Mexican cheeses are not associated with physiologic anemia, diverticulosis, and PKU. Pregnant
patients with physiologic anemia are instructed to eat iron-rich foods. Pregnant patients are advised to
eat fiber-rich food to prevent diverticulosis flare-ups. Pregnant patients with PKU should not use the
artificial sweetener aspartame.) - answer ✅✅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?
A. Possibility of listeriosis developing
,B. Physiologic anemia
C. Sigmoid diverticulosis
D. Phenylketonuria (PKU)
A
(Diverticulosis is a condition in which the patient develops muscular outpouchings in the colon. Intake of
fibrous food reduces the risk for diverticulosis in a pregnant patient. Therefore the nurse should
recommend that the patient incorporate the diet containing whole grains, bran, vegetables, and fruits.
The intake of citrus fruits and dark green leafy vegetables is recommended for vitamin C deficiency.
Shellfish, liver, meats, whole grains, and milk are recommended foods for a zinc deficiency. A diet
containing iodized salt, seafood, milk products, and rolls is rich in iodine.) - answer ✅✅A patient who is
6 months pregnant is diagnosed with diverticulosis. Which diet should the nurse recommend to the
patient?
A. Whole grains, bran, vegetables, and fruits
B. Citrus fruits and dark green leafy vegetables
C. Shellfish, liver, meats, whole grains, and milk
D. Iodized salt, seafood, milk products, and rolls
A
(Good sources for protein, such as meat, milk, eggs, and cheese, have a lot of calcium and iron. Most
women already eat a high-protein diet and do not need to increase their intake. Protein is sufficiently
important that specific servings of meat and dairy are recommended. High-protein supplements are not
recommended because they have been associated with an increased incidence of preterm births.) -
answer ✅✅Which information regarding protein in the diet of a pregnant woman is most helpful to the
client?
A. Many protein-rich foods are also good sources of calcium, iron, and B vitamins.
B. Many women need to increase their protein intake during pregnancy.
C. As with carbohydrates and fat, no specific recommendations exist for the amount of protein in the
diet.
, D. High-protein supplements can be used without risk by women on macrobiotic diets.
A
(Hypertension is caused by decreased levels of potassium and increased intake of sodium. To prevent
the risk for hypertension, the nurse instructs the patient to consume 8 to 10 cups of vegetables and
fruits, low fat meats, and dairy products. These foods are rich sources of potassium and also reduce the
sodium content in the body. This helps prevent hypertension. Milk is a rich source of calcium and does
not prevent hypercalcemia. These food choices do not enhance uric acid excretion and therefore do not
prevent hypouricemia. Hypothyroidism is caused by the imbalance of thyroid hormones.) - answer
✅✅During the assessment of a pregnant patient, the nurse instructs the patient to eat eight to ten
servings of vegetables and fruits, three servings of milk products, and incorporate low-fat meats daily.
What is the most probable reason for giving such instruction? To prevent:
A. Hypertension
B. Hypercalcemia
C. Hypouricemia
D. Hypothyroidism
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. Also, the woman's calorie
intake should be sufficient to meet the increased needs of pregnancy and the demands of exercise. All
pregnant women should consume the necessary amount of protein in their diet, regardless of level of
activity. Many pregnant women of this gestation tend to retain fluid. This may contribute to
hypertension and swelling. An adequate fluid intake prior to and after exercise should be sufficient. The
woman's calorie and carbohydrate intake should be sufficient to meet the increased needs of pregnancy
and the demands of exercise.) - answer ✅✅A pregnant woman reports that she is still playing tennis at
32 weeks of gestation. The nurse should be most concerned regarding what this woman consumes
during and after tennis matches. Which is the most important?
A. Several glasses of fluid
B. Extra protein sources, such as peanut butter
Nutrition NCLEX
A
(A weight gain of 30 pounds is one indication that the client has gained a sufficient amount for the
nutritional needs of pregnancy. A daily supplement is not the best goal for this client and does not meet
the basic need of proper nutrition during pregnancy. Decreasing snack foods may be needed and should
be assessed; however, assessing weight gain is the best method of monitoring nutritional intake for this
pregnant client. Although increasing the intake of complex carbohydrates is important for this client,
monitoring the weight gain should be the end goal.) - answer ✅✅The nurse has formulated a diagnosis
of Imbalanced nutrition: Less than body requirements for the client. Which goal is most appropriate for
this client to obtain?
A. Gain a total of 30 pounds.
B. Consistently take daily supplements.
C. Decrease her intake of snack foods.
D. Increase her intake of complex carbohydrates.
A
(Brie, Camembert, and the soft Mexican cheeses are made with unpasteurized milk. Listeriosis is a
disease caused by the infection of the bacteria Listeria, which is present in unpasteurized milk. This
disease increases the risk for miscarriage, premature birth, and stillbirth in pregnant patients. Thus the
nurse instructs the patient to stay away from those products that cause listeriosis. Brie, Camembert, and
the soft Mexican cheeses are not associated with physiologic anemia, diverticulosis, and PKU. Pregnant
patients with physiologic anemia are instructed to eat iron-rich foods. Pregnant patients are advised to
eat fiber-rich food to prevent diverticulosis flare-ups. Pregnant patients with PKU should not use the
artificial sweetener aspartame.) - answer ✅✅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?
A. Possibility of listeriosis developing
,B. Physiologic anemia
C. Sigmoid diverticulosis
D. Phenylketonuria (PKU)
A
(Diverticulosis is a condition in which the patient develops muscular outpouchings in the colon. Intake of
fibrous food reduces the risk for diverticulosis in a pregnant patient. Therefore the nurse should
recommend that the patient incorporate the diet containing whole grains, bran, vegetables, and fruits.
The intake of citrus fruits and dark green leafy vegetables is recommended for vitamin C deficiency.
Shellfish, liver, meats, whole grains, and milk are recommended foods for a zinc deficiency. A diet
containing iodized salt, seafood, milk products, and rolls is rich in iodine.) - answer ✅✅A patient who is
6 months pregnant is diagnosed with diverticulosis. Which diet should the nurse recommend to the
patient?
A. Whole grains, bran, vegetables, and fruits
B. Citrus fruits and dark green leafy vegetables
C. Shellfish, liver, meats, whole grains, and milk
D. Iodized salt, seafood, milk products, and rolls
A
(Good sources for protein, such as meat, milk, eggs, and cheese, have a lot of calcium and iron. Most
women already eat a high-protein diet and do not need to increase their intake. Protein is sufficiently
important that specific servings of meat and dairy are recommended. High-protein supplements are not
recommended because they have been associated with an increased incidence of preterm births.) -
answer ✅✅Which information regarding protein in the diet of a pregnant woman is most helpful to the
client?
A. Many protein-rich foods are also good sources of calcium, iron, and B vitamins.
B. Many women need to increase their protein intake during pregnancy.
C. As with carbohydrates and fat, no specific recommendations exist for the amount of protein in the
diet.
, D. High-protein supplements can be used without risk by women on macrobiotic diets.
A
(Hypertension is caused by decreased levels of potassium and increased intake of sodium. To prevent
the risk for hypertension, the nurse instructs the patient to consume 8 to 10 cups of vegetables and
fruits, low fat meats, and dairy products. These foods are rich sources of potassium and also reduce the
sodium content in the body. This helps prevent hypertension. Milk is a rich source of calcium and does
not prevent hypercalcemia. These food choices do not enhance uric acid excretion and therefore do not
prevent hypouricemia. Hypothyroidism is caused by the imbalance of thyroid hormones.) - answer
✅✅During the assessment of a pregnant patient, the nurse instructs the patient to eat eight to ten
servings of vegetables and fruits, three servings of milk products, and incorporate low-fat meats daily.
What is the most probable reason for giving such instruction? To prevent:
A. Hypertension
B. Hypercalcemia
C. Hypouricemia
D. Hypothyroidism
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. Also, the woman's calorie
intake should be sufficient to meet the increased needs of pregnancy and the demands of exercise. All
pregnant women should consume the necessary amount of protein in their diet, regardless of level of
activity. Many pregnant women of this gestation tend to retain fluid. This may contribute to
hypertension and swelling. An adequate fluid intake prior to and after exercise should be sufficient. The
woman's calorie and carbohydrate intake should be sufficient to meet the increased needs of pregnancy
and the demands of exercise.) - answer ✅✅A pregnant woman reports that she is still playing tennis at
32 weeks of gestation. The nurse should be most concerned regarding what this woman consumes
during and after tennis matches. Which is the most important?
A. Several glasses of fluid
B. Extra protein sources, such as peanut butter
