NUR 1229- Nutrition for the fetus, pregnant, and lactating
mother Questions With Complete Solutions
Allison is 10 weeks pregnant. She weighs 160 lbs and is 5'3''
tall.
What is her BMI?
What is the desired weight gain for Allison? Correct Answer
28-overweight
weight gain 15-25
Assessment of a woman's nutritional status includes a diet
history, medication regimen, physical exam, and relevant lab
tests. A maternity nurse performing such an assessment should
be aware that:
a) OCP's use may interfere with the absorption of iron
b) Illnesses that have created nutritional deficients such as PKU
may require nutritional care before conception.
c) the woman's socioeconomic status and educational level are
not relevant to her exam, they are the province of the social
worker, if anybody.
d) the only nutrition-related lab test most pregnant women need
is testing for diabetes Correct Answer Illnesses that have
created nutritional deficients such as PKU may require
nutritional care before conception.
Avoiding nausea during pregnancy (in book) Correct Answer •
Eat dry, starchy foods such as dry toast, melba toast, or crackers
on awakening in the morning and at other times when nausea
occurs.
,• Avoid consuming excessive amounts of fluids early in the day
or when nauseated (but compensate by drinking fluids at other
times).
• Eat small amounts frequently (every 2 to 3 hours), and avoid
large meals that distend the stomach.
• Avoid skipping meals and thus becoming extremely hungry,
which may worsen nausea. Have a snack such as cereal with
milk, a small sandwich, or yogurt before bedtime.
• Avoid sudden movements. Get out of bed slowly.
• Decrease intake of fried and other fatty foods. Try high-
carbohydrate foods such as toast, rice, or potatoes. Some women
find high-protein meals or snacks helpful.
• Breathe fresh air to help relieve nausea. Keep the environment
well ventilated (e.g., open a window), go for a walk outside, or
decrease cooking odors by using an exhaust fan.
• Eat foods served at cool temperatures and foods that give off
little aroma. Avoid spicy foods.
• Avoid brushing teeth immediately after eating.
• Try salty and tart foods (e.g., potato chips and lemonade)
during periods of nausea. Sucking a lemon slice may help.
• Try herbal teas such as those made with raspberry leaf or
peppermint to decrease nausea.
• Vitamin B6 or a medicine such as Diclegis (made of vitamin
B6 and doxylamine) may be recommended by the health care
provider.
Severe
severe and persistent vomiting causing weight loss, dehydration,
and electrolyte abnormalities, occurs in up to 1% of pregnant
women. Intravenous fluid and electrolyte replacement, enteral
, tube feeding, and rarely total parenteral nutrition have been used
to nourish women with hyperemesis gravidarum
BMI formula: Correct Answer weight/ height 2
Calcium sources for women who don't consume milk: Correct
Answer fish, beans, legumes, greens, baked breads, fruits(figs,
OJ with calcium added), sauces(creamy pesto sauce, cheese
sauce)
Constipation and hemorrhoids pregnancy discomfort? Correct
Answer -iron supplements decrease GI motility to increase
absorption of nutrients
-decreased hormones
drink fluids (2 L/day)
eat high fiber foods
exercise regularly
nice walk after meals
use laxatives when prescribed
no mineral oil (decreases absorption)
Cravings and aversions pregnancy discomfort? Correct Answer
-food
-pica (iron deficiency seen commonly in African Americans)
will eat ice and dirt
more influenced culturally and less from something missing in
diet
Mexican clay has lead (avoid)
mother Questions With Complete Solutions
Allison is 10 weeks pregnant. She weighs 160 lbs and is 5'3''
tall.
What is her BMI?
What is the desired weight gain for Allison? Correct Answer
28-overweight
weight gain 15-25
Assessment of a woman's nutritional status includes a diet
history, medication regimen, physical exam, and relevant lab
tests. A maternity nurse performing such an assessment should
be aware that:
a) OCP's use may interfere with the absorption of iron
b) Illnesses that have created nutritional deficients such as PKU
may require nutritional care before conception.
c) the woman's socioeconomic status and educational level are
not relevant to her exam, they are the province of the social
worker, if anybody.
d) the only nutrition-related lab test most pregnant women need
is testing for diabetes Correct Answer Illnesses that have
created nutritional deficients such as PKU may require
nutritional care before conception.
Avoiding nausea during pregnancy (in book) Correct Answer •
Eat dry, starchy foods such as dry toast, melba toast, or crackers
on awakening in the morning and at other times when nausea
occurs.
,• Avoid consuming excessive amounts of fluids early in the day
or when nauseated (but compensate by drinking fluids at other
times).
• Eat small amounts frequently (every 2 to 3 hours), and avoid
large meals that distend the stomach.
• Avoid skipping meals and thus becoming extremely hungry,
which may worsen nausea. Have a snack such as cereal with
milk, a small sandwich, or yogurt before bedtime.
• Avoid sudden movements. Get out of bed slowly.
• Decrease intake of fried and other fatty foods. Try high-
carbohydrate foods such as toast, rice, or potatoes. Some women
find high-protein meals or snacks helpful.
• Breathe fresh air to help relieve nausea. Keep the environment
well ventilated (e.g., open a window), go for a walk outside, or
decrease cooking odors by using an exhaust fan.
• Eat foods served at cool temperatures and foods that give off
little aroma. Avoid spicy foods.
• Avoid brushing teeth immediately after eating.
• Try salty and tart foods (e.g., potato chips and lemonade)
during periods of nausea. Sucking a lemon slice may help.
• Try herbal teas such as those made with raspberry leaf or
peppermint to decrease nausea.
• Vitamin B6 or a medicine such as Diclegis (made of vitamin
B6 and doxylamine) may be recommended by the health care
provider.
Severe
severe and persistent vomiting causing weight loss, dehydration,
and electrolyte abnormalities, occurs in up to 1% of pregnant
women. Intravenous fluid and electrolyte replacement, enteral
, tube feeding, and rarely total parenteral nutrition have been used
to nourish women with hyperemesis gravidarum
BMI formula: Correct Answer weight/ height 2
Calcium sources for women who don't consume milk: Correct
Answer fish, beans, legumes, greens, baked breads, fruits(figs,
OJ with calcium added), sauces(creamy pesto sauce, cheese
sauce)
Constipation and hemorrhoids pregnancy discomfort? Correct
Answer -iron supplements decrease GI motility to increase
absorption of nutrients
-decreased hormones
drink fluids (2 L/day)
eat high fiber foods
exercise regularly
nice walk after meals
use laxatives when prescribed
no mineral oil (decreases absorption)
Cravings and aversions pregnancy discomfort? Correct Answer
-food
-pica (iron deficiency seen commonly in African Americans)
will eat ice and dirt
more influenced culturally and less from something missing in
diet
Mexican clay has lead (avoid)
