Ch. 5: Nutrition During Pregnancy

Question 1

Recommended weight gain in preg?

Answer 1

25-35 lbs

Question 2

General rule of weight gain for 1st tri? What about after first tri?

Answer 2

1st trimester: 2.2-4.4 lb during first tri

After first tri: 1 lb/week

Question 3

How much weight should underweight women be advised to gain?

Answer 3

28-40 lbs

Question 4

How much weight should overweight women be advised to gain?

Answer 4

15-25 lbs

Question 5

An increase of ____ is recommended during 2nd trimester

Answer 5

340cal/day

Question 6

An increase of _____ is recommended during 3rd trimester

Answer 6

452cal/day

Question 7

If the client is breastfeeding during postpartum period, an additional intake of ____ is recommended during first 6 months and an additional intake of ____ is recommended during 2nd 6 months.

Answer 7

1st 6 months: 330cal/day

2nd 6 months: 400cal/day

Question 8

What are foods high in folic acid?

Answer 8

Leafy vegetables
Dried peas and beans
Seeds
OJ
Breads, cereals, grains

Question 9

How much folic acid should be taken during preg?

Answer 9

600 mcg

Question 10

When is iron best absorbed?

Answer 10

Between meals and when given with Vit C

Question 11

What interferes with absorption of iron?

Answer 11

Milk and caffeine

Question 12

What are food sources of iron?

Answer 12

Beef liver
Red meats
Fish 
Poultry
Dried peas and beans
Fortified cereals and bread

Question 13

Sources of calcium?

Answer 13

Milk 
Calcium fortified soy milk
Fortified OJ
Nuts and legumes
Dark green leafy vegetables

Question 14

What is daily recommendation of calcium for pregnant and non pregnant women over age of 19?

Answer 14

1000 mg/d

Question 15

What is daily recommendation of calcium for those under 19?

Answer 15

1300 mg/d

Question 16

How much fluid should be consumed daily and what are the preferred fluids?

Answer 16

2-3L

Water, fruit juice, milk

Question 17

How much caffeine can be consumed when preg?

Answer 17

Limited to 300 mg/d

*The equivalent of 500-750 mL/d of coffee may increase risk of spontaneous abortion or IUGR

Question 18

Vegetarians have low _____ (5)

Answer 18

Protein 
Calcium
Iron
Zinc
Vit. B12

Question 19

How long does WIC care for mom and their children

Answer 19

WIC is a federally funded state program for preg women and their children (up to 5 years)

Question 20

What helps client with nausea?

Answer 20

Dry cracker or toast
Avoid alcohol, caffeine, fats, and spices
Avoid fluid with meals
DO NOT take med to control nausea without first checking with provider!!!

Question 21

What helps client with constipation?

Answer 21

Increase in fluid
Extra fiber (fruits, veg, whole grains)

Question 22

Maternal PKU is a maternal genetic disease in which high levels of phenylalanine pose a danger to the fetus. It is important for the client to resume the PKU diet for at least 3 months prior to pregnancy and continue the diet throughout the pregnancy. What does this diet include?

Answer 22

• Foods low in phenylalanine

- Foods high in protein (fish, poultry, meat, eggs, nuts, dairy) MUST BE AVOIDED!!!!

Question 23

What should lactating woman nutritional plan include?

Answer 23

• Increase protein and calories, but maintain well balanced diet
• Increase oral fluids, but avoid alcohol and caffeine
• Avoid substances that don’t agree with newborn (foods that may cause altered bowel function)
• Take calcium supplements if she consumes inadequate amount of dietary calcium

Question 24

A nurse in a prenatal clinic is providing education to a client who is in the 8th week of gestation. The client states that she does not like milk. What is a good source of calcium that the nurse can recommend to the client?

A. Dark green, leafy veg
B. Deep red or orange veg
C. White breads and rice
D. Meat, poultry, and fish

Answer 24

A

Question 25

A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should the nurse be concerned about regarding weight gain?

A. 1.8 kg (4lb) weight gain in first trimester
B. 3.6 kg (8 lb) weight gain in first trimester
C. 6.8 kg (15lb) weight gain and is in her second trimester
D. 11.3 kg (25 lbs) weight gain and is in her third trimester

Answer 25

B

Question 26

A nurse in a clinic is teaching a client of childbearing age about recommended folic acid supplements. Which of the following defects can occur in the fetus or neonate as a result of folic acid deficiency?

A. Iron deficiency anemia
B. Poor bone formation
C. Macrosomic fetus
D. NTD

Answer 26

D

Question 27

A nurse is reviewing a new prescription for iron supplements with a client who is in the 8th week of gestation and has iron deficiency anemia. The nurse should advise the client to take the iron supplement with which of the following?

A. Ice water
B. Low fat or whole milk
C. Tea or coffee
D. OJ

Answer 27

D

Question 28

A nurse is reviewing postpartum nutrition with a group of new mothers who are breastfeeding their newborns. Which of the following statements by a member of the group requires clarification?

A. I am glad I can have my morning coffee
B. I know that certain foods that I eat will affect my baby
C. I will continue adding 330 calories per day to my diet
D. I will continue my calcium supplements because I don’t like milk.

Answer 28

A