NU220-A Final Exam Study Guide
2025 Questions and Answers
Deborah, age 24, is a Caucasian woman who is attending her first prenatal
appointment with the clinic obstetrician. Deborah is single and employed in a
minimum-wage job with limited financial resources. She resides with her mother. In the
first month of her pregnancy, Deborah has experienced mild nausea but no vomiting,
and has had a ravenous appetite. Because she works as a waitress, she has access to
balanced meals at breakfast and lunch, whereas at home she and her mother primarily
eat ready-to-eat dinners, and occasionally make a home-cooked meal. She is a well-
appearing, normal-weight woman with no known medical conditions. She is taking no
medications except for an over-the-counter prenatal vitamin-mineral supplement,
which she began on her own the day she administered her pregnancy self-test two
weeks ago. She does not smoke or drink alcohol. Because she does not own a car, she
walks about four miles a day; ho - ✔✔
*A* If Deborah's prenatal vitamin-mineral supplement provides ______ milligrams (mg)
of iron, it is adequately meeting her pregnancy RDA.
-8
-18
-27
COPYRIGHT © 2025 BY OLIVIA WEST, ALL RIGHTS RESERVED 1
,-40 - ✔✔27
*A* If Deborah receives a brochure about nutrition during her first prenatal clinic
appointment. It correctly states that ____________ typifies a balanced diet
recommended during pregnancy.
-Eating for 2
-Eating some nutrient-dense foods from the 5 food groups daily
-Eating as tolerated and taking a prenatal dietary supplement to make up for gaps in
food intake
-Eating an additional 340 kcals daily during the 2nd trimester and an extra 450 kcals
each day during the 3rd trimester - ✔✔Eating an additional 340 kcals daily during the
2nd trimester and an extra 450 kcals each day during the 3rd trimester
*A* By reading the clinic brochure on prenatal nutrition, Deborah discovers that she can
"kill 2 birds with 1 stone" by eating more ___________, which is a good source of both
iron and zinc, minerals that may be lacking in the average pregnant women's diet.
-Meat
-Yogurt
-Salad vegetables
-Citrus fruits - ✔✔Meat
*A* Which of the following is an iron deficient risk factor for Deborah?
COPYRIGHT © 2025 BY OLIVIA WEST, ALL RIGHTS RESERVED 2
, -Ethnicity
-Activity level
-Limited financial means
-Skips meals - ✔✔Limited financial means
*A* The social worker at the prenatal clinic determines that Deborah is eligible for WIC.
This program provides:
-Nutrition counseling
-referrals to health and social services
-vouchers redeemable for nutritious foods
-All of the above - ✔✔All of the above
Case Study B. Carrie is days away from delivering her first baby. She has been
contemplating breastfeeding for its nutritional and immunological benefits, and has
been reading about breastfeeding and talking to mothers who breastfed their babies.
The birthing center where she receives prenatal care, and where she will deliver her
baby, has scheduled Carrie to meet with its lactation expert. Carrie has read the birthing
center's "Guide to Successful Breastfeeding," and is prepared to ask the lactation expert
about relaxation techniques. Not only is Carrie "high-strung" by nature, but she is quite
anxious about the childbirth process, let alone the prospect of breastfeeding. - ✔✔
*B* Carrie's understanding of successful breastfeeding technique is demonstrated by
which statement?
-Comfortable positioning promotes correct infant sucking
COPYRIGHT © 2025 BY OLIVIA WEST, ALL RIGHTS RESERVED 3
2025 Questions and Answers
Deborah, age 24, is a Caucasian woman who is attending her first prenatal
appointment with the clinic obstetrician. Deborah is single and employed in a
minimum-wage job with limited financial resources. She resides with her mother. In the
first month of her pregnancy, Deborah has experienced mild nausea but no vomiting,
and has had a ravenous appetite. Because she works as a waitress, she has access to
balanced meals at breakfast and lunch, whereas at home she and her mother primarily
eat ready-to-eat dinners, and occasionally make a home-cooked meal. She is a well-
appearing, normal-weight woman with no known medical conditions. She is taking no
medications except for an over-the-counter prenatal vitamin-mineral supplement,
which she began on her own the day she administered her pregnancy self-test two
weeks ago. She does not smoke or drink alcohol. Because she does not own a car, she
walks about four miles a day; ho - ✔✔
*A* If Deborah's prenatal vitamin-mineral supplement provides ______ milligrams (mg)
of iron, it is adequately meeting her pregnancy RDA.
-8
-18
-27
COPYRIGHT © 2025 BY OLIVIA WEST, ALL RIGHTS RESERVED 1
,-40 - ✔✔27
*A* If Deborah receives a brochure about nutrition during her first prenatal clinic
appointment. It correctly states that ____________ typifies a balanced diet
recommended during pregnancy.
-Eating for 2
-Eating some nutrient-dense foods from the 5 food groups daily
-Eating as tolerated and taking a prenatal dietary supplement to make up for gaps in
food intake
-Eating an additional 340 kcals daily during the 2nd trimester and an extra 450 kcals
each day during the 3rd trimester - ✔✔Eating an additional 340 kcals daily during the
2nd trimester and an extra 450 kcals each day during the 3rd trimester
*A* By reading the clinic brochure on prenatal nutrition, Deborah discovers that she can
"kill 2 birds with 1 stone" by eating more ___________, which is a good source of both
iron and zinc, minerals that may be lacking in the average pregnant women's diet.
-Meat
-Yogurt
-Salad vegetables
-Citrus fruits - ✔✔Meat
*A* Which of the following is an iron deficient risk factor for Deborah?
COPYRIGHT © 2025 BY OLIVIA WEST, ALL RIGHTS RESERVED 2
, -Ethnicity
-Activity level
-Limited financial means
-Skips meals - ✔✔Limited financial means
*A* The social worker at the prenatal clinic determines that Deborah is eligible for WIC.
This program provides:
-Nutrition counseling
-referrals to health and social services
-vouchers redeemable for nutritious foods
-All of the above - ✔✔All of the above
Case Study B. Carrie is days away from delivering her first baby. She has been
contemplating breastfeeding for its nutritional and immunological benefits, and has
been reading about breastfeeding and talking to mothers who breastfed their babies.
The birthing center where she receives prenatal care, and where she will deliver her
baby, has scheduled Carrie to meet with its lactation expert. Carrie has read the birthing
center's "Guide to Successful Breastfeeding," and is prepared to ask the lactation expert
about relaxation techniques. Not only is Carrie "high-strung" by nature, but she is quite
anxious about the childbirth process, let alone the prospect of breastfeeding. - ✔✔
*B* Carrie's understanding of successful breastfeeding technique is demonstrated by
which statement?
-Comfortable positioning promotes correct infant sucking
COPYRIGHT © 2025 BY OLIVIA WEST, ALL RIGHTS RESERVED 3
