5 - Nutrition During Pregancy

Question 1

Recommended weight gain during pregnancy.

Answer 1

25-35 lb

Question 2

General rule for weight gain.

Answer 2

1st Trimester: 2.2-4.4 lb

2nd and 3rd: 1 lb /wk

Question 3

Recommended weight gain for underweight women.

Answer 3

28 - 40 lb

Question 4

Recommended weight gain for overweight women.

Answer 4

15-25 lb

Question 5

Caloric needs during pregnancy.

Answer 5

1st and 2nd tri: 340 cal/day

3rd tri: 452 cal/day

***if breastfeeding, an additional 330 cal/day for first 6 mths and 400 cal/day for second 6 mths

Question 6

Foods high in folic acid

Answer 6

leafy veggies

dried peas / beans

seeds

OJ

Grains / Cereal / Bread

Question 7

What amount of Folic Acid needed?

Answer 7

600 mcg

***if lactating, continue w/ 500 mcg

Question 8

— interferes with Iron absorption while — increases iron absorption.

Answer 8

Milk and Caffeine

Vit. C

Question 9

Iron rich foods

Answer 9

beef liver

red meats

fish

poultry

dried peas / beans

fortified cereals and breads

Question 10

Calcium rich foods

Answer 10

milk

soy milk (fortified)

OJ (fortified)

nuts

legumes

dark green leafy veggies

Question 11

Daily recommendation of Calcium

Answer 11

1000 mg/day for all women over 19

1300 mg/day for those under 19

Question 12

PKU diet

Answer 12

foods high in protein (fish, poultry, meat, eggs, nuts and dairy products) must be AVOIDED due to high pheynlalanine levels

Question 13

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 vegetables
B. Deep red or orange vegetables
C. White breads and rice
D. Meat, poultry, and fish

Answer 13

A. Dark green, leafy vegetables

Question 14

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

Answer 14

B. 3.6 kg (8 lb) weight gain and is in her first trimester

Question 15

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. Neural tube defects

Answer 15

D. Neural tube defects

Question 16

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 supplements with which of the following?

A. Ice water
B. Low-fat or whole milk
C. Tea or coffee
D. Orange juice

Answer 16

D. Orange juice

Question 17

A nurse is reviewing postpartum nutrition needs 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 17

A. “I am glad I can have my morning coffee.”