The client has low intake of magnesium. Show
c. low intake of magnesium Sets with similar termsWhich findings could be considered a barrier to a pregnant woman seeking prenatal care? 1. Client would prefer to be cared for by a midwife instead of a physician. 2, 3, 5 p. 352 Economic factors can delay the onset of healthcare treatment. A client's cultural beliefs and values may be a barrier to seeking prenatal care if her culture does not perceive any inherent value in prenatal care. If the client had a bad prior experience with a healthcare provider, this may lead to a barrier in seeking future care. Although the client may prefer to be cared for by a midwife, this fact may not be considered to be a barrier to seeking prenatal care, because it demonstrates a client's choice. The fact that the client is multilingual does not necessarily represent a barrier to seeking prenatal care. What question does the nurse ask when assessing the socioeconomic status of a pregnant client? 1. "What prescription medications do you take?" 3 When the nurse is assessing a client's socioeconomic status, the nurse should determine if the client has health insurance. Lack of health insurance may mean the client does not have a job to pay for insurance nor the income to pay for it privately. This may impact the client's prenatal care if she cannot afford services. When the nurse asks about the family's medical history, this falls under the client's personal history. The nurse asks about the community in which the patient lives when
assessing the client's environment. Medications can affect the fetus in a pregnant client. Therefore, the nurse should ask about the medications taken by the client when assessing the patient's health status. A 22-year-old woman pregnant with a single fetus has a preconception body mass index (BMI) of 24. When she was seen in the clinic at 14 weeks of gestation, she had gained 1.8 kg (4 lb) since conception. How would the nurse interpret this? 1. This weight gain indicates possible gestational hypertension. 4 This woman's BMI is within the normal range. During the first trimester, the average total weight gain is only 1 to 2.5 kg (2.2-4.4 lbs). The desirable weight gain during pregnancy varies among women. The primary factor to consider in making a weight gain recommendation is the appropriateness of the prepregnancy weight for the woman's height. A commonly used method of evaluating the appropriateness of weight for height is the BMI. This woman has gained the appropriate amount of weight for her size at this point in her pregnancy. Weight gain should take place throughout the pregnancy. The optimal rate of weight gain depends on the stage of the pregnancy. pp. 347-348 The nurse is developing a dietary teaching plan for a patient on a vegetarian diet. The nurse should provide the client with which examples of protein-containing foods? 1. Dried beans 1, 2, 3, 5 Dried beans, seeds, peanut butter, and peas provide
protein. A bagel is an example of a whole grain food, not protein. The nurse is assessing a 25-year-old pregnant client and learns the client is lactose intolerant and avoids consuming any dairy foods. Upon reviewing the client's daily diet chart, the nurse sees that the client eats four pieces of French toast and three cups of cooked dried beans almost every day. The client does not consume any other calcium-rich food in the diet. What does the nurse interpret about the client? 1. The client consumes sufficient calcium. 2 Four pieces of French toast and three cups of dried beans is equivalent to about two cups of milk in terms of the calcium content. Each cup of milk contains approximately 300 mg of calcium, so the client is
getting about 600 mg of calcium daily. The recommended intake of calcium for pregnant women over the age of 19 is 1000 mg/day so the client is falling short of the daily calcium requirement. The nurse should suggest that the client add another 400 mg of calcium every day. Because the total calcium requirement is 100 mg and the client is already getting some calcium, the nurse would not suggest that the client consume an additional 1000 mg of calcium.
The nurse is caring for a pregnant client who is prescribed vitamin A supplements. What does the nurse tell the client is the reason for not taking more than the prescribed dosage of vitamin A? 1. To avoid tetany in the newborn 3, 4 Fat-soluble vitamins, such as vitamin A, are stored in the body tissues. If taken in high doses, these vitamins can reach toxic levels. Due to the high potential for toxicity, pregnant women are advised to take fat-soluble vitamin supplements only as prescribed. Congenital malformations such as spina bifida and cleft palate have occurred in infants whose mothers took excessive amounts of preformed vitamin A (from supplements) during pregnancy. So, taking extra supplements in addition to the commonly prescribed prenatal vitamins is not routinely recommended for pregnant women. Tetany in the newborn occurs due to an inadequate supply of calcium. Anemia in the newborn may occur due to an inadequate supply of folic acid. Hypocalcemia occurs due to an inadequate supply of calcium. PG 354 The nurse is caring for a client who is in the ninth month of pregnancy and is experiencing dehydration. What risk is increased in the client due to dehydration? 1. Cramping 1, 2, 3 Water is the main substance of cells, blood, lymph, amniotic fluid, and other vital body fluids. It is essential during the exchange of nutrients and waste products across cell membranes. The recommended daily intake is eight to ten glasses (2.3 L) of fluid. Dehydration may increase the risk for cramping, contractions, and preterm labor. Fetal neurotoxicity may occur due to consumption of fish with high levels of mercury. Physiologic anemia may occur due to iron deficiency. With regard to protein in the diet of pregnant women, what should the nurse be aware of? 1. Many protein-rich foods are also good sources of calcium, iron, and B vitamins. 1 Good protein sources such as meat, milk, eggs, and cheese also have a lot of calcium and iron. Most women already eat a high-protein diet and do not need to increase their intake. Protein is sufficiently important that specific servings of meat and dairy are recommended. High-protein supplements are not recommended,
because they have been associated with an increased incidence of preterm births. A pregnant woman with a body mass index (BMI) of 22 asks the nurse how she should be gaining weight during pregnancy. The nurse's best response is to tell the woman that her pattern of weight gain should be approximately: 1. a pound a week throughout pregnancy. 2 p. 348 A pregnant client reports having strange food cravings. She admits that she feels compelled to eat soil sometimes. What health risk factor does the nurse warn the client about? 1. Eating soil may lead to gestational diabetes. 3 A client who feels compelled to eat soil or other nonfood items may
be suffering from pica. This condition is particularly problematic during pregnancy, when nutrition is essential to the mother and the developing fetus. Soil may be contaminated with heavy metals and could therefore lead to elevated lead levels in the blood. Gestational diabetes is not likely to develop from eating soil, but is a risk if the client consumes cornstarch or other empty-calorie foods as part of the pica cravings. Poor nutrition is linked to low birth weight in infants, but it is not
directly tied to eating soil. Eating soil is not likely to lead to excess weight gain during pregnancy, because there are no nutrients in soil to be absorbed by the body. The nurse is caring for a postpartum client. On assessment, the nurse finds that the client's neonate has neural tube defects (NTD). Which intervention would be beneficial for the client? 1. Daily calcium supplement of 0.4 mg 4 Neural tube defects (NTDs) are more common in infants born of mothers with low folic acid intake during pregnancy. A patient who has had a pregnancy involving a child with NTD should take 0.4 mg of folic acid daily, even if not planning for another pregnancy. Neither 0.4 mg nor 0.8 mg of calcium will help prevent neural tube defects. A dose of 1.0 mg of folic acid is too high and may decrease the absorption of vitamin B 12 in the client. PG 344 During an assessment, the nurse reviews a pregnant client's medical record and sees that her prepregnant weight was 60 kg. The patient's height is 1.6 m. What should be the maximum weight of the patient by the end of the third trimester? Record your answer using a whole number. _______ kg 76 Which minerals and vitamins usually are recommended to supplement a pregnant woman's diet? 1. Fat-soluble vitamins A and D 3 A pregnant client has severe and persistent vomiting. The client has lost weight, is dehydrated, and has electrolyte abnormalities. Which condition does the nurse suspect that the client has? 1. Tetany 4 Hyperemesis gravidarum is a condition associated with severe and persistent vomiting causing weight loss, dehydration, and electrolyte abnormalities. Tetany is a condition caused by vitamin D deficiency and is characterized by muscle cramps, spasms, or tremors. Glossitis is characterized by an inflamed red tongue; it does not lead to severe and persistent vomiting but may lead to weight loss. Hypocalcemia may lead to retardation of bone development in the infant. Which foods does the nurse exclude from the pregnant client's diet plan to ensure good health? 1. Meats 2, 4, 5 It is advisable to include oils rather than solid fats in the diet plan of a pregnant client.
Solid fats are fats that are solid at room temperature and cause increased body weight. This may result in greater BMI and obesity. Therefore, solid fats such as butter, beef fat, and stick margarine should be avoided in the diet plan of a pregnant client. Meat is rich in folate, and yogurt is rich in vitamin D. Therefore, these products are recommended for the diet of a pregnant client. Women with an inadequate weight gain during pregnancy are at higher risk of giving birth to an infant with what? 1. Spina bifida 2 Both normal-weight and underweight women with inadequate weight gain have an increased risk of giving birth to an infant with intrauterine growth restriction. When counseling a client about getting enough iron in her diet, what should the maternity nurse tell her? 1. Milk, coffee, and tea aid iron absorption if consumed at the same time as iron. 4 Constipation can be a problem when taking iron supplements. Certain beverages, including milk, coffee, and tea, inhibit iron absorption when consumed at the same time as iron. Vitamin C promotes iron absorption. Children who ingest iron can get very sick and even die. 362 The nurse is caring for a pregnant client who is taking iron supplements. What is the risk of iron supplementation for pregnant women? 1. Tetany 4 A client weighs 60 kg and is 158 cm tall. How does the nurse record the body mass index (BMI) of the client? Record your answer using a whole number. _____kg/m2 24 While assessing the routine diet of a client, the nurse finds that the client takes natural vitamin A supplements in addition to the multivitamin supplements prescribed by the health care provider. The client also eats a lot of carrots and green salads. What instruction should the nurse give to the client? 1. "Limit your intake of green leafy vegetables." 2 Excess intake of vitamin A has been associated with spina bifida and cleft palate in the fetus. Therefore, the nurse should ask the client to avoid taking natural vitamin A supplements. A pregnant client reports abdominal cramps, diarrhea, and bloating after drinking milk. Which suggestions does the nurse give to the client about preventing calcium imbalance? 1. To replace milk with rice 2, 4, 5 The inability to digest milk is called lactose intolerance. This condition is caused by the lack of the enzyme lactase, which helps in the digestion of milk. In clients with lactose intolerance, milk consumption can cause abdominal cramps, diarrhea, and bloating. Cocoa, yogurt, and buttermilk may be tolerated by clients with lactose intolerance, because these products have minute lactose content. After reviewing the lab reports of a pregnant client, the primary health care provider instructs the client to avoid adding salt to food at the table. What would be the most likely reason for this instruction? 1. The client has low blood pressure. 4 A primary care provider may ask a client to avoid adding salt to food at the table in order to restrict the client's sodium intake. Cutting sodium may help prevent fluid retention in the body, which would be important for a client who had abnormal renal function test results. Which mineral intake is restricted in a pregnant client with renal failure? 1. Zinc 3 Renal failure is a medical condition in which the kidneys fail to adequately filter waste products from the blood. Clients with renal failure are unable to eliminate adequate amounts of sodium. Therefore, sodium is retained in the body, leading to edema and high blood pressure. Thus, sodium intake should be restricted in clients with renal failure. A pregnant client reports an inflamed red tongue. On assessment, the nurse finds that the client also has megaloblastic anemia. Which reason does the nurse suspect is the cause of the client's condition? 1. Sodium deficiency 4 Vitamin B 12 deficiency can result in megaloblastic anemia, glossitis (inflamed red tongue), and neurologic deficits such as decreased sensation and inability to walk A client who is in the first trimester of pregnancy reports frequent nausea. Which nursing interventions would help relieve the symptoms of nausea in this client? 1. Assessing if the client is well hydrated 1, 2, 4 Nausea may occur due to morning sickness during the first trimester of pregnancy. To relieve this condition in the client, the nurse should assess the reasons behind it. Therefore, the nurse is required to assess the client's state of hydration and pattern of weight gain during pregnancy. The nurse should also find out what measures the client has taken to relieve morning sickness. Then, the nurse can treat the condition of nausea in the client. What dose of calcium supplement should a lactating mother with calcium deficiency receive? 1. 400 mg 4 PG 365 A pregnant woman reports that she is still playing tennis at 32 weeks of gestation. The nurse would be most concerned regarding what this woman consumes during and after tennis matches. Which is the most important? 1. Several glasses of fluid 1 If no medical or obstetric problems contraindicate physical activity, pregnant women should get 30 minutes of moderate physical exercise daily. Liberal amounts of fluid should be consumed before, during, and after exercise, because dehydration can trigger premature labor A pregnant woman at 7 weeks of gestation complains to her nurse-midwife about frequent episodes of nausea during the day with occasional vomiting. She asks what she can do to feel better. The nurse-midwife should suggest that the woman do what? 1. Drink warm fluids with each of her meals. 2 A bedtime snack of slowly digested protein is especially important to prevent the occurrence of hypoglycemia during the night that can contribute to nausea. The nurse is caring for a pregnant client who reports constipation. Which instructions does the nurse give to the client about relieving constipation? 1. "Consume at least 28 g of fiber per day." 1, 3, 5 PG 362 The nurse is caring for a pregnant client whose prepregnancy weight was 61 kg and whose height is 1.62 m. What is the body mass index (BMI) of the patient? Record your answer to two decimal places. ____kg/m 23.24 The nurse is caring for a postpartum client. While reviewing the reports, the nurse finds that the prepregnancy weight of the client was 60 kg (132.2 lb), and the postpregnancy weight is 80 kg (176.3). For what is the client at risk in the future? 1. Hypertension 1, 3, 5 PG 349 With regard to nutritional needs during lactation, of what should a maternity nurse be aware ? 1. The mother's intake of vitamin C, zinc, and protein now can be lower than during pregnancy. 2 PG 365 A client who is 6 months pregnant is diagnosed with diverticulosis. Which diet should the nurse recommend to the client? Whole grains, bran, vegetables, and fruits PG 346 he nurse instructs the client to eat nuts, legumes, cocoa, and whole grains during the second trimester of pregnancy. What is the rationale for this instruction? The client has low intake of magnesium. The nurse is caring for a pregnant adult Puerto Rican client. Which food does the nurse instruct the client to consume on a daily basis to prevent calcium imbalance? Collards On assessing the laboratory reports of a client who is 12 weeks pregnant, the nurse observes that the client's level of serum ferritin is low. Which condition does the nurse expect in the client? ANEMIA The nurse is caring for a pregnant client. What instruction does the nurse give the client to prevent the risk of fetal neurotoxicity? "Avoid eating shark." "Avoid eating tilefish." "Avoid eating swordfish." 1, 2, 4 The nurse is caring for a pregnant client receiving anticoagulant therapy. On reviewing the client's lab reports, the nurse finds an abrupt increase in clotting time. What does the nurse suspect that might be the reason for this? Consumption of ginger 3 Which suggestion about weight gain is an accurate recommendation? Underweight women should gain 12.5 to 18 kg. Obese women should gain at least 7 kg. Adolescents are encouraged to strive for weight gains at the upper end of the recommended scale. The desirable weight gain during pregnancy varies among women. 1, 2, 3, 5 While reviewing the reports of a pregnant client, the nurse finds that the client is severely anemic. Which supplements does the nurse recommend for the client? Iron Zinc Copper 1, 2, 3 The nurse talks to a client who maintains a vegan diet about food choices to prevent calcium deficiency. Which foods would the nurse suggest for this purpose? Collards Dried figs Cooked dried beans 2, 4, 5 The nurse is caring for an underweight patient with singleton pregnancy. After the first trimester, the nurse observes that the patient's weight gain is approximately 0.3 kg per week. Which risk is the fetus exposed to? Intrauterine growth restriction (IUGR) 4 After assessing a pregnant client the nurse finds that the client has a folate intake of approximately 580 mcg/day. What dietary modifications should the nurse suggest to the client? Add one extra slice of bread daily. Include one boiled egg every day. Include one-half cup of corn daily.
3, 4, 5 Which food should pregnant woman avoid quizlet?What foods should pregnant women aviod/limit? Fish and Shellfish- Fish may contain high levels of mercury and should be limited or avoided during pregnancy. Some types of fish contain higher levels of mercury than others and should be avoided, including swordfish, shark, king mackerel and tilefish.
Which foods would the nurse recommend to a client who is concerned with ensuring that her diet is not deficient in folic acid quizlet?Dark green leafy vegetables such as spinach, asparagus, and broccoli. Liver.
Which nursing information is appropriate regarding protein in the diet of pregnant clients?Which nursing information is appropriate regarding protein in the diet of pregnant clients? Many protein-rich foods are also good sources of calcium, iron, and B vitamins. Which examples of protein-containing foods are appropriate when developing a dietary teaching plan for a client on a vegetarian diet?
Which minerals and vitamins are recommended to supplement the pregnant client's diet quizlet?Which minerals and vitamins are usually recommended to supplement a pregnant woman's diet? Iron generally should be supplemented, and folic acid supplements often are needed because folate is so important.
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What foods are appropriate to exclude from the pregnancy clients diet to ensure good health quizlet?
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