Chapter 10: Life Cycle Nutrition: Pregnancy and Lactation
1. Ms. J is a 15-year-old girl who is 2 months pregnant. She is undecided about seeking an
abortion. Which of the following would be most important for teaching the client before she
leaves your clinic today?
1. Advice to begin a vitamin and mineral supplement
2. Anticipatory guidance regarding morning sickness prevention
3. Dietary instructions on limiting weight gain to 20 lb
4. Warning about strict prohibition of alcohol
Ans: 4
Feedback
1. Supplementation is usually required, but this advice is not a priority at this
time.
2. Anticipatory guidance about morning sickness prevention may be helpful, but
this would not be the most important teaching to be done. Morning sickness is
a common problem, but it usually does not require medical intervention.
3. Weight gain, for the normal-weight woman, should range from 25 to 35 lbs.
4. Alcohol is detrimental to the fetus, and there is no safe time for the
consumption of alcohol. Therefore, instructing the client to avoid alcohol
would be most important.
KEY: Integrated Process: Teaching/Learning | Client Need: Health Promotion and Maintenance
| Cognitive Level: Application
2. Ms. P is a 20-year-old woman who is being treated for acne with isotretinoin. The nurse
should assess whether she is:
1. Complying with contraceptive instructions
2. Taking a prescribed multivitamin preparation
3. Consuming three servings of milk or cheese daily
4. Within the recommended blood pressure parameters
Ans: 1
Feedback
1. Isotretinoin use can cause fetal deformities. Therefore, the nurse needs to
ensure that the client is using contraceptive measures to prevent pregnancy.
2. Use of a multivitamin preparation has no impact on the use of isotretinoin.
3. Although the woman should be consuming adequate intake of dairy products,
this has no relevance to the use of isotretinoin.
4. Isotretinoin has no effect on blood pressure.
KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity:
Pharmacological and Parenteral Therapies | Cognitive Level: Application
, 3. Ms. J is a 15-year-old girl who is 2 months pregnant. If Ms. J later confides to the nurse that
she craves the taste of laundry starch, the nurse would document this incidence of:
1. Eclampsia
2. Gestational diabetes
3. Heartburn
4. Pica
Ans: 4
Feedback
1. Eclampsia involves seizures in a woman with hypertensive disorder of
pregnancy.
2. Gestational diabetes refers to diabetes occurring during pregnancy.
3. Heartburn refers to the burning sensation beneath the breastbone that results
from relaxation of the cardiac sphincter from hormonal changes.
4. Pica is the compulsive ingestion of nonfood items such as laundry starch.
KEY: Integrated Process: Communication and Documentation | Client Need: Physiological
Integrity: Physiological Adaptation | Cognitive Level: Application
4. Pregnant women should be encouraged to consume adequate carbohydrate for which of the
following reasons?
1. Provide energy to support her anabolic processes
2. Spare fat for tissue building
3. Maximize weight gain
4. Limit amount of glucose to the fetus
Ans: 1
Feedback
1. Adequate carbohydrate intake is necessary to provide energy to support her
anabolic processes.
2. Adequate carbohydrate intake spares protein for tissue building.
3. Adequate carbohydrate intake does not maximize weight gain.
4. Adequate carbohydrate intake does not limit the amount of glucose to the
fetus.
KEY: Integrated Process: Nursing Process | Client Need: Health Promotion and Maintenance |
Cognitive Level: Application
5. To meet her protein needs, a pregnant woman should be counseled to:
1. Consume 1 1/2 additional ounces of meat and 2 additional cups of milk per day
2. Substitute beans and other legumes for meat, fish, and poultry
3. Eat double servings of dairy products
1. Ms. J is a 15-year-old girl who is 2 months pregnant. She is undecided about seeking an
abortion. Which of the following would be most important for teaching the client before she
leaves your clinic today?
1. Advice to begin a vitamin and mineral supplement
2. Anticipatory guidance regarding morning sickness prevention
3. Dietary instructions on limiting weight gain to 20 lb
4. Warning about strict prohibition of alcohol
Ans: 4
Feedback
1. Supplementation is usually required, but this advice is not a priority at this
time.
2. Anticipatory guidance about morning sickness prevention may be helpful, but
this would not be the most important teaching to be done. Morning sickness is
a common problem, but it usually does not require medical intervention.
3. Weight gain, for the normal-weight woman, should range from 25 to 35 lbs.
4. Alcohol is detrimental to the fetus, and there is no safe time for the
consumption of alcohol. Therefore, instructing the client to avoid alcohol
would be most important.
KEY: Integrated Process: Teaching/Learning | Client Need: Health Promotion and Maintenance
| Cognitive Level: Application
2. Ms. P is a 20-year-old woman who is being treated for acne with isotretinoin. The nurse
should assess whether she is:
1. Complying with contraceptive instructions
2. Taking a prescribed multivitamin preparation
3. Consuming three servings of milk or cheese daily
4. Within the recommended blood pressure parameters
Ans: 1
Feedback
1. Isotretinoin use can cause fetal deformities. Therefore, the nurse needs to
ensure that the client is using contraceptive measures to prevent pregnancy.
2. Use of a multivitamin preparation has no impact on the use of isotretinoin.
3. Although the woman should be consuming adequate intake of dairy products,
this has no relevance to the use of isotretinoin.
4. Isotretinoin has no effect on blood pressure.
KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity:
Pharmacological and Parenteral Therapies | Cognitive Level: Application
, 3. Ms. J is a 15-year-old girl who is 2 months pregnant. If Ms. J later confides to the nurse that
she craves the taste of laundry starch, the nurse would document this incidence of:
1. Eclampsia
2. Gestational diabetes
3. Heartburn
4. Pica
Ans: 4
Feedback
1. Eclampsia involves seizures in a woman with hypertensive disorder of
pregnancy.
2. Gestational diabetes refers to diabetes occurring during pregnancy.
3. Heartburn refers to the burning sensation beneath the breastbone that results
from relaxation of the cardiac sphincter from hormonal changes.
4. Pica is the compulsive ingestion of nonfood items such as laundry starch.
KEY: Integrated Process: Communication and Documentation | Client Need: Physiological
Integrity: Physiological Adaptation | Cognitive Level: Application
4. Pregnant women should be encouraged to consume adequate carbohydrate for which of the
following reasons?
1. Provide energy to support her anabolic processes
2. Spare fat for tissue building
3. Maximize weight gain
4. Limit amount of glucose to the fetus
Ans: 1
Feedback
1. Adequate carbohydrate intake is necessary to provide energy to support her
anabolic processes.
2. Adequate carbohydrate intake spares protein for tissue building.
3. Adequate carbohydrate intake does not maximize weight gain.
4. Adequate carbohydrate intake does not limit the amount of glucose to the
fetus.
KEY: Integrated Process: Nursing Process | Client Need: Health Promotion and Maintenance |
Cognitive Level: Application
5. To meet her protein needs, a pregnant woman should be counseled to:
1. Consume 1 1/2 additional ounces of meat and 2 additional cups of milk per day
2. Substitute beans and other legumes for meat, fish, and poultry
3. Eat double servings of dairy products
